Individual provider Active NPI

Heather Fitzharris, LCSW

  • Clinical Social Worker
  • Newburgh, NY
National Provider Identifier
1356692453
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081878 Issued in NY
Practice address
141 Broadway
Newburgh, NY 12550-6204
Phone
(845) 568-5260
NPI assigned
Sep 28, 2012
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 081878 NY Primary

Addresses

Primary practice location

141 Broadway
Newburgh, NY 12550-6204

Mailing address

30 Harriman Dr
Goshen, NY 10924-2410
Phone (845) 291-2600

Other names 1

  • Heather Galvin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140912001344 NY Practitioner - Clinical Social Worker 6406075084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of OrangeGroup PAC ID 0648169185, 28 clinicians

Practice addresses (Care Compare)

146 Pike St
Port Jervis, NY 12771-1808
Phone (845) 856-1458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange CurrentSince Nov 1, 2014 Accepting new patients
County of Orange CurrentSince Nov 1, 2014 Accepting new patients
Access: Supports for Living Inc CurrentSince May 1, 2014 Accepting new patients
County of Orange Current Accepting new patients
Access: Supports for Living Inc. CurrentSince May 1, 2014 Accepting new patients

Locations

30 Harriman Dr
Goshen, NY 10924
Phone (845) 291-2600

16 Union St
Middletown, NY 10940
Phone (845) 343-5556

141 Broadway
Newburgh, NY 12550
Phone (845) 568-5260

67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850

146 Pike St
Port Jervis, NY 12771
Phone (845) 856-1458

15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1356692453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HARRIMAN DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242410",
            "telephone_number": "845-291-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506204",
            "telephone_number": "845-568-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZHARRIS",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "GALVIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.