Individual provider Active NPI

Tracy Ann Podias

  • Clinical Social Worker
  • Middletown, NY
National Provider Identifier
1467733238
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P78100 Issued in NY
Practice address
41 Dolson Ave
Middletown, NY 10940-6489
Phone
(845) 342-5789
Fax
(845) 344-0510
NPI assigned
Sep 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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 P78100 NY Primary

Addresses

Primary practice location

41 Dolson Ave
Middletown, NY 10940-6489

Mailing address

41 Dolson Ave
Middletown, NY 10940-6489
Phone (845) 342-5789

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

LicenseStateTypeSpecialty
P78100NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1467733238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DOLSON AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406489",
            "telephone_number": "845-342-5789",
            "fax_number": "845-344-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 DOLSON AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406489",
            "telephone_number": "845-342-5789",
            "fax_number": "845-344-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODIAS",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P78100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.