Individual provider Active NPI

Michael J. Stanet, LCSW-R

  • Clinical Social Worker
  • Mount Kisco, NY
National Provider Identifier
1487935169
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077910 Issued in NY
Practice address
239 Lexington Ave
Mount Kisco, NY 10549-2780
Phone
(845) 625-3945
NPI assigned
Sep 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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 077910 NY Primary

Addresses

Primary practice location

239 Lexington Ave
Mount Kisco, NY 10549-2780

Mailing address

3605 Chelsea CV S
Hopewell Junction, NY 12533-6935
Phone (845) 625-3945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
077910NYMDClinical Social Worker
058171NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Jewish Community Services Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1487935169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 CHELSEA CV S",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336935",
            "telephone_number": "845-625-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 LEXINGTON AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492780",
            "telephone_number": "845-625-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANET",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.