Courtney Runkel

Primary specialty

Social WorkerTaxonomy code 104100000X

License

125637 Issued in NY

Practice address

122 W Main St
Babylon, NY 11702-3425

Phone

(631) 482-8030

NPI assigned

Nov 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Village Therapy Wellness LCSW LLC

  • Clinical Social Worker
  • Babylon, NY
  • NPI 1639719818
  NPD

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1376368100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SHINNECOCK AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586716",
            "telephone_number": "516-655-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023425",
            "telephone_number": "631-482-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNKEL",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "125637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion B Rose, M.D.
• Jaclyn Rosen, MS, CNS, CDN
• Jenna Elise Rosenberg
• Theresa Maria Rua, O.D.
• Alexandra M Rulli, LCSW
• Sarah Ruplin
• Ryan M. Cahill D.O. PC
• Rebecca Ryan, LMHC
• Christine Ann Sadousky, LMSW
• Sheila Saint-Louis, LPN

• Social Worker in Babylon, NY
• Providers in Babylon, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.