Active NPI
Paula Jean Southwell, L.C.S.W.
- Clinical Social Worker
- Walden, NY
National Provider Identifier
1437323599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 072509-1
- Practice address
- 29 Rifton PL
Walden, NY 12586-1923 - Phone
- (845) 346-6399
- NPI assigned
- Apr 18, 2008
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 072509-1 | NY | Primary |
Addresses
Primary practice location
29 Rifton PL
Walden, NY 12586-1923
Mailing address
29 Rifton PL
Walden, NY 12586-1923
Phone (845) 346-6399
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 |
|---|---|---|---|
| 072509-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1437323599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 RIFTON PL",
"city": "WALDEN",
"state": "NY",
"postal_code": "125861923",
"telephone_number": "845-346-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 RIFTON PL",
"city": "WALDEN",
"state": "NY",
"postal_code": "125861923",
"telephone_number": "845-346-6399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHWELL",
"first_name": "PAULA",
"middle_name": "JEAN",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-18",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "072509-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.