Individual provider Active NPI

Stephany Agudelo

  • Clinical Social Worker
  • Poughkeepsie, NY
National Provider Identifier
1467825331
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092387 Issued in NY
Practice address
20 Manchester Rd
Poughkeepsie, NY 12603-2596
Phone
(845) 452-1110
NPI assigned
Nov 2, 2015
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210401000448 CA Practitioner - Clinical Social Worker 6800203217 Reassigns benefits to 1 organization
I20220216000640 NY Practitioner - Clinical Social Worker 6800203217 Reassigns benefits to 2 organizations

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
Opnmynd LLCGroup PAC ID 2567830730, 4 clinicians

Practice addresses (Care Compare)

Orange, CA 92866
Phone (855) 750-5010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindloft Family Therapy Incorporated Clinical CurrentSince Jun 1, 2026 Accepting new patients
Family Services, Inc. Clinical CurrentSince Apr 1, 2026 Accepting new patients
Jewish Board of Family & Childrens Services Inc Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
Jewish Board of Family and Children's Services, Inc. Clinical CurrentSince Dec 1, 2021 Accepting new patients
Opnmynd LLC Clinical CurrentSince Apr 1, 2023 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.

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

Verify at the official NPI Registry.