Individual provider Active NPI

Carolyn Toni Mufson, CSW

  • Clinical Social Worker
  • Hudson, NY
National Provider Identifier
1447235437
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO33400-1 Issued in NY
Practice address
158 Union Tpke Apt 204C
Hudson, NY 12534-1534
Phone
(845) 201-0118
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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 RO33400-1 NY Primary

Addresses

Primary practice location

158 Union Tpke Apt 204C
Hudson, NY 12534-1534

Mailing address

158 Union Tpke Apt 204C
Hudson, NY 12534-1534
Phone (845) 201-0118

Other practice location 1

5 W 86th St
Suite 1A
New York, NY 10024-3603
Phone (212) 362-3979

Other names 1

  • C. Toni Mufson Other name

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
I20040504001662 NY Practitioner - Clinical Social Worker 8224026570 Reassigns benefits to 1 organization
Practice locations: Hudson, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO33400-1NYMDClinical Social Worker
033400NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maverick Family Counseling LCSW PLLC Clinical CurrentSince Oct 13, 2015 Accepting new patients

Locations

404 Zena Rd
Woodstock, NY 12498
Phone (845) 679-5271

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

158 Union Tpke
Apt 204C
Hudson, NY 12534-1534
Phone (845) 201-0118

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1447235437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 UNION TPKE APT 204C",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341534",
            "telephone_number": "845-201-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 UNION TPKE APT 204C",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341534",
            "telephone_number": "845-201-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 W 86th St",
            "address_2": "Suite 1A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100243603",
            "country_code": "US",
            "telephone_number": "212-362-3979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUFSON",
        "first_name": "CAROLYN",
        "middle_name": "TONI",
        "name_prefix": "Ms.",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO33400-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C.",
            "last_name": "MUFSON",
            "middle_name": "TONI",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.