Individual provider Active NPI

Angela Penichet

  • Clinical Social Worker
  • Croton on Hudson, NY
National Provider Identifier
1467830828
Registry record updated Feb 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
046544 Issued in NY
Practice address
1 Croton Point Ave
Croton on Hudson, NY 10520-3028
Phone
(914) 874-6852
NPI assigned
May 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2016

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 046544 NY Primary

Addresses

Primary practice location

1 Croton Point Ave
Croton on Hudson, NY 10520-3028

Mailing address

1 Croton Point Ave
Croton on Hudson, NY 10520-3028
Phone (914) 874-6852

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
I20160212001690 NY Practitioner - Clinical Social Worker 0749584605 Practice locations: Yonkers, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455408000000",
    "number": "1467830828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CROTON POINT AVE",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105203028",
            "telephone_number": "914-874-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CROTON POINT AVE",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105203028",
            "telephone_number": "914-874-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENICHET",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2016-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "046544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

Verify at the official NPI Registry.