Individual provider Active NPI

Julie Marie Capobianco, LCSW-R

  • Clinical Social Worker
  • Schoharie, NY
National Provider Identifier
1437336450
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R038806 Issued in NY
Practice address
284 Main St.
Suite320
Schoharie, NY 12157
Phone
(518) 295-8336
Fax
(518) 295-8724
NPI assigned
Jan 22, 2008
Last updated
Jan 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R038806 NY Primary

Addresses

Primary practice location

284 Main St.
Suite320
Schoharie, NY 12157

Mailing address

284 Main St.
Suite320
Schoharie, NY 12157
Phone (518) 295-8336

Other identifiers 1

IdentifierTypeStateIssuer
00555784MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170404002473 NY Practitioner - Clinical Social Worker 7113203274 Practice locations: Cobleskill, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1365 Greenbush Hill Rd
Cobleskill, NY 12043-5623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R038806NYMDClinical Social Worker
038806NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Schoharie County Clinical 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1437336450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 MAIN ST.",
            "address_2": "SUITE320",
            "city": "SCHOHARIE",
            "state": "NY",
            "postal_code": "12157",
            "telephone_number": "518-295-8336",
            "fax_number": "518-295-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MAIN ST.",
            "address_2": "SUITE320",
            "city": "SCHOHARIE",
            "state": "NY",
            "postal_code": "12157",
            "telephone_number": "518-295-8336",
            "fax_number": "518-295-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOBIANCO",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R038806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00555784",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schoharie, NY

Sources for this page

Verify at the official NPI Registry.