Stephany Agudelo
Individual provider Active NPI Clinical Social Worker · Poughkeepsie, NY
NPI 1467825331 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1467825331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 092387 (NY)
- Practice address
- 20 Manchester Rd
Poughkeepsie, NY 12603-2596 - Phone
- (845) 452-1110
- NPI assigned
- Nov 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Opnmynd LLC
Practice addresses (Care Compare)
Orange, CA 92866
Phone (855) 750-5010
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210401000448 | CA | Practitioner - Clinical Social Worker | 6800203217 | Reassigns benefits to 1 organization |
| I20220216000640 | NY | Practitioner - Clinical Social Worker | 6800203217 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092387 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Services, Inc. | Clinical | Current |
Accepting new patients |
| Jewish Board of Family and Children'S Services, Inc. | Clinical | Current |
Accepting new patients |
| Opnmynd LLC | Clinical | Current |
Accepting new patients |
| Mindloft Family Therapy Incorporated | Clinical | Current |
Accepting new patients |
| Jewish Board of Family & Childrens Services Inc | Single Specialty | Current |
Accepting new patients |
| Myndloft Licensed Clinical Social Worker Professional Corporation | Clinical | Past | Accepting new patients |
Locations
100 W Chapman Ave
Ste 200
Orange, CA 92866
Phone (855) 750-5010
240 W Chapman Ave
Ste 200
Orange, CA 92866
Phone (855) 750-5010
750 Astor Ave
Bronx, NY 10467
Phone (718) 882-5000
1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700
20 Manchester Rd
Poughkeepsie, NY 12603
Phone (845) 347-6096
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 092387 | NY | Yes |
Addresses
Primary practice location
20 Manchester Rd
Poughkeepsie, NY 12603-2596
Mailing address
141 Pumphouse Rd
Brewster, NY 10509-2908
Phone (914) 497-7912
Other practice location 1
100 W Chapman Ave Ste 200
Orange, CA 92866-1418
Phone (855) 750-5010
Other practice location 2
91 Montgomery St # 93
Rhinebeck, NY 12572-1146
Phone (845) 452-1110 ext. 1707
Other providers in Poughkeepsie, NY
- Nneoma Marygold Agbo
- Kavita Aggarwal
- Glenn F. Agoliati
- Amanda Agosto
- Martha Agresta
- Demetrio A. Aguila Jr.
- Mridasim O Aguwa
- Alon S Aharon
- Tulin Saleh Ahmad
- Umbreen Ahmad
All providers in Poughkeepsie, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.