Individual provider Active NPI

Dawn Terralavoro-Short

  • Clinical Social Worker
  • Hopewell Junction, NY
National Provider Identifier
1497175822
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079879 Issued in NY
Practice address
7 Alpine Dr
Hopewell Junction, NY 12533-5327
Phone
(845) 797-1647
NPI assigned
Apr 24, 2014
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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 079879 NY Primary

Addresses

Primary practice location

7 Alpine Dr
Hopewell Junction, NY 12533-5327

Mailing address

7 Alpine Dr
Hopewell Junction, NY 12533-5327
Phone (845) 797-1647

Other names 1

  • Dawn Terralavoro Professional name

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
I20151102001994 NY Practitioner - Clinical Social Worker 4486964517 Reassigns benefits to 1 organization
Practice locations: Catskill, NY; Wappingers Falls, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

2510 Route 44
Suite F
Salt Point, NY 12578-8040
Phone (845) 768-3178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hypnoscope Medical, PC CurrentSince Aug 26, 2015 Accepting new patients
Carmel Psychological Health, PC Clinical CurrentSince Aug 26, 2015 Accepting new patients

Locations

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

2510 Route 44
Ste F
Salt Point, NY 12578
Phone (845) 768-3178

1940 Commerce St
Ste 309
Yorktown Heights, NY 10598
Phone (844) 468-5391

Interoperability endpoints

  • Direct secure messaging: cpa.dawnterralavoro-short@142175.advancedmd-direct.com

Organizations & group practices 2

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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1497175822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ALPINE DR",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125335327",
            "telephone_number": "845-797-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALPINE DR",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125335327",
            "telephone_number": "845-797-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRALAVORO-SHORT",
        "first_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "TERRALAVORO",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hopewell Junction, NY

Sources for this page

Verify at the official NPI Registry.