Active NPI
Stephany Agudelo
- Clinical Social Worker
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 092387
- Practice address
- 20 Manchester Rd
Poughkeepsie, NY 12603-2596 - Phone
- (845) 452-1110
- NPI assigned
- Nov 2, 2015
- Last updated
- Jun 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 092387 | NY | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Orange, CA 92866
Phone (855) 750-5010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindloft Family Therapy Incorporated | Clinical | Current | Accepting new patients |
| Family Services, Inc. | Clinical | Current | Accepting new patients |
| Jewish Board of Family & Childrens Services Inc | Single Specialty | 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 |
| 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
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Poughkeepsie, NY
- NPI 1316939457
Clinical
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
Single Specialty
-
dba The Jewish Board
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
Clinical
-
dba Mindloft
- Marriage & Family Therapist
- Orange, CA
- NPI 1184459018
Clinical
-
dba mindloft
- Clinical Social Worker
- Orange, CA
- NPI 1093415481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1467825331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 PUMPHOUSE RD",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105092908",
"telephone_number": "914-497-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MANCHESTER RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032596",
"telephone_number": "845-452-1110"
}
],
"practiceLocations": [
{
"address_1": "100 W Chapman Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928661418",
"country_code": "US",
"telephone_number": "855-750-5010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "91 Montgomery St # 93",
"address_purpose": "LOCATION",
"city": "Rhinebeck",
"state": "NY",
"postal_code": "125721146",
"country_code": "US",
"telephone_number": "845-452-1110 x1707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGUDELO",
"first_name": "STEPHANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-02",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "092387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.