Individual provider Active NPI

Alysha Problynn, LCSW

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1356793111
Registry record updated Apr 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088427-01 Issued in NY
Practice address
6 Automation LN Ste 105
Albany, NY 12205-1658
Phone
(518) 360-1534
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2024

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 088427-01 NY Primary

Addresses

Primary practice location

6 Automation LN Ste 105
Albany, NY 12205-1658

Mailing address

6 Automation LN Ste 105
Albany, NY 12205-1658
Phone (518) 360-1534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 22, 2024 through Apr 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088427-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
NSD Mental Health Services CurrentSince Sep 11, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1356793111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 AUTOMATION LN STE 105",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051658",
            "telephone_number": "518-360-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 AUTOMATION LN STE 105",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051658",
            "telephone_number": "518-360-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROBLYNN",
        "first_name": "ALYSHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088427-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.