Active NPI
Carolyn Anne Clark-Tenney, LCSW
- Social Worker
- Bedford, NY
National Provider Identifier
1356623797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 072038-1
- Practice address
- 77 Pound Ridge Rd
Bedford, NY 10506-1235 - Phone
- (914) 474-5377
- NPI assigned
- Sep 12, 2011
- Last updated
- Sep 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 072038-1 | NY | Primary |
Addresses
Primary practice location
77 Pound Ridge Rd
Bedford, NY 10506-1235
Mailing address
77 Pound Ridge Rd
Bedford, NY 10506-1235
Phone (914) 474-5377
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 |
|---|---|---|---|
| 072038-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1356623797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 POUND RIDGE RD",
"city": "BEDFORD",
"state": "NY",
"postal_code": "105061235",
"telephone_number": "914-474-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 POUND RIDGE RD",
"city": "BEDFORD",
"state": "NY",
"postal_code": "105061235",
"telephone_number": "914-474-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK-TENNEY",
"first_name": "CAROLYN",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "072038-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.