Active NPI
Caren Stacey Redlich, L.C.S.W.
- Social Worker
- Spring Valley, NY
National Provider Identifier
1386926632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 075656
- Practice address
- 5 Gladwyne Court
Spring Valley, NY 10977-1605 - Phone
- (914) 980-6015
- Fax
- (845) 362-3633
- NPI assigned
- Sep 13, 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 | 075656 | NY | Primary |
Addresses
Primary practice location
5 Gladwyne Court
Spring Valley, NY 10977-1605
Mailing address
5 Gladwyne CT.
Spring Valley, NY 10977-1605
Phone (914) 980-6015
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5 Gladwyne CT
Spring Valley, NY 10977-1605
Phone (914) 980-6015
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075656 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Direct LLC | Current | Accepting new patients | |
| Nysha Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Developmental Disabilities Clinic/Center
- Brooklyn, NY
- NPI 1639474935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1386926632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 GLADWYNE CT.",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109771605",
"telephone_number": "914-980-6015",
"fax_number": "845-362-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 GLADWYNE COURT",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109771605",
"telephone_number": "914-980-6015",
"fax_number": "845-362-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDLICH",
"first_name": "CAREN",
"middle_name": "STACEY",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "075656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.