Madge Ellen Postal, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R030483-1 Issued in NY

Practice address

2215 Burdett Ave.
Samaritan Hospital
Troy, NY 12180

Phone

(518) 271-1122

Fax

(518) 271-1791

NPI assigned

Nov 6, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2021.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1487834685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 BURDETT AVE.",
            "address_2": "SAMARITAN HOSPITAL",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-271-1122",
            "fax_number": "518-271-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTAL",
        "first_name": "MADGE",
        "middle_name": "ELLEN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R030483-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R030483-1",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2215 Burdett Ave.",
            "address_2": "Samaritan Hospital",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shoshanna Ponce
• Megan Pooler
• Brenda Yvonne Porter, DDS
• Steven Porter
• Anthony Peter Posca Jr., M.D.
• Elizabeth Ann Potenza
• Alexandra Christine Potter, R.N.
• Carly M Premo
• Stacey Prescott, MS ED
• Amy E Price, MS CCC-SLP

• All providers in Troy, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.