Active NPI
Carolyn Plum Leroy, LCSW
- Clinical Social Worker
- Saugerties, NY
National Provider Identifier
1427406545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 085344
- Practice address
- 442 Malden Tpke
Saugerties, NY 12477-5017 - Phone
- (518) 871-3581
- NPI assigned
- May 31, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 089721 | NY | |
| Clinical Social Worker | 1041C0700X | 085344 | NY | Primary |
Addresses
Primary practice location
442 Malden Tpke
Saugerties, NY 12477-5017
Mailing address
442 Malden Tpke
Saugerties, NY 12477-5017
Phone (518) 871-3581
Other practice location 1
216 Lafayette St
Schenectady, NY 12305-2408
Phone (518) 243-3300
Other names 1
- Carolyn Plum Marshall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085344 | NY | MD | Social Worker |
| 089721 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis Hospital | Single Specialty | Past | 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": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1427406545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 MALDEN TPKE",
"city": "SAUGERTIES",
"state": "NY",
"postal_code": "124775017",
"telephone_number": "518-871-3581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 MALDEN TPKE",
"city": "SAUGERTIES",
"state": "NY",
"postal_code": "124775017",
"telephone_number": "518-871-3581"
}
],
"practiceLocations": [
{
"address_1": "216 Lafayette St",
"address_purpose": "LOCATION",
"city": "Schenectady",
"state": "NY",
"postal_code": "123052408",
"country_code": "US",
"telephone_number": "518-243-3300",
"fax_number": "518-377-9151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEROY",
"first_name": "CAROLYN",
"middle_name": "PLUM",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2022-03-24",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "089721",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "085344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "MARSHALL",
"middle_name": "PLUM",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saugerties, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.