Active NPI
Ian Staley, LMSW
- Social Worker
- Harrison, NY
National Provider Identifier
1336997105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 122728-01
- Practice address
- 275 North St
Harrison, NY 10528-1140 - Phone
- (914) 967-6500
- NPI assigned
- May 8, 2024
- Last updated
- May 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 122728-01 | NY | Primary |
Addresses
Primary practice location
275 North St
Harrison, NY 10528-1140
Mailing address
330 S Broadway Unit C11
Tarrytown, NY 10591-5623
Phone (914) 419-7695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122728-01 | NY | MD | Social Worker |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1336997105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 S BROADWAY UNIT C11",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915623",
"telephone_number": "914-419-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 NORTH ST",
"city": "HARRISON",
"state": "NY",
"postal_code": "105281140",
"telephone_number": "914-967-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALEY",
"first_name": "IAN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "122728-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrison, NY
- St.Vincent's Hospital Westchester
- St.Vincent's Hospital Westchester
- St.Vincent's Hospital Westchester a Division of Saint Joseph's Medical
- St.Vincents Hospital Westchester
- Annette Frances Stabile, LMHC
- Miranda Joan Stein, LMSW
- Elizabeth Ann Steiner, LCSW
- Rachel Anne Steinman, MD
- Stephanie Wolman, OD, PC
- Jillian Lucy Stetler
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.