Individual provider Active NPI

Sandi Rose Hecht-Garcia, LCSW

  • Clinical Social Worker
  • Ellenville, NY
National Provider Identifier
1447373352
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R038705 Issued in NY
Practice address
22 N Main St
Suite 2a
Ellenville, NY 12428-1058
Phone
(845) 647-3394
Fax
(845) 647-3394
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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 R038705 NY Primary

Addresses

Primary practice location

22 N Main St
Suite 2a
Ellenville, NY 12428-1058

Mailing address

50 Tuthill Avenue
Ellenville, NY 12428
Phone (845) 647-3394

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
I20120507000574 NY Practitioner - Clinical Social Worker 1850553918 Practice locations: Ellenville, 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

Practice addresses (Care Compare)

22 N Main St
Suite 2a
Ellenville, NY 12428-1063
Phone (845) 647-3394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R038705NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1447373352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TUTHILL AVENUE",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "12428",
            "telephone_number": "845-647-3394",
            "fax_number": "845-647-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N MAIN ST",
            "address_2": "SUITE 2A",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124281058",
            "telephone_number": "845-647-3394",
            "fax_number": "845-647-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECHT-GARCIA",
        "first_name": "SANDI",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R038705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenville, NY

Sources for this page

Verify at the official NPI Registry.