Cristina M Bates-Mott, L.C.S.W., L.C.A.D.C.
Individual provider Active NPI Clinical Social Worker · Goshen, NY
NPI 1396976411 · NPPES record last updated Jun 11, 2013
Key facts
- NPI
- 1396976411
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 072083 (NY)
- Practice address
- 1787 Route 17M
Goshen, NY 10924-2566 - Phone
- (845) 294-4773
- NPI assigned
- Aug 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Putnam Family and Community Services Inc
Practice addresses (Care Compare)
1808 Route 6
Carmel, NY 10512-2356
Phone 84522527000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130820000765 | NY | Practitioner - Clinical Social Worker | 8426290594 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00028100 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SC05173000 | NJ | MD | Clinical Social Worker |
| 072083 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam Family and Community Services Inc | Current |
Accepting new patients | |
| Putnam Family and Community Services Inc | Past |
Accepting new patients |
Locations
1808 Route 6
Carmel, NY 10512
Phone (845) 225-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00028100 | NJ | |
| Clinical Social Worker | 1041C0700X | 072083 | NY | Yes |
| Clinical Social Worker | 1041C0700X | 44SC05173000 | NJ |
Addresses
Primary practice location
1787 Route 17M
Goshen, NY 10924-2566
Mailing address
1787 Route 17M
Goshen, NY 10924-2566
Phone (845) 294-4773
Other providers in Goshen, NY
- Stephanie L Barden
- Elizabeth Ashley Barrett
- Julie Ann Barrett
- Annika S Barriteau
- Jennifer Ellen Bashinsky
- Rachel Bauer
- Phillip Bautista
- Shreyas Baxi
- Christine Bollman Beck
- Jamie Beck
All providers in Goshen, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.