Vance R. Hackle, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

435 New Karner Road
Albany, NY 12205

Phone

(518) 456-2060

Fax

(518) 456-2361

NPI assigned

Jul 17, 2006

Last updated

Jul 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Joseph Ippolito

  dba Pinnacle Behavioral Health, IPA, LLC

  • Clinical Social Worker
  • Albany, NY
  • NPI 1720490949
  NPD (past)
• Northeast Psychological Associates

  • Clinical Psychologist
  • Albany, NY
  • NPI 1275751133
  NPD (past)
• Northeast Psychological Associates PLLC

  • Psychologist
  • Albany, NY
  • NPI 1447817093

  Clinical

  NPD (past)
• Pinnacle Behavioral Health Ipa PLLC

  • Mental Health Counselor
  • Albany, NY
  • NPI 1447276720
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1497773873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 NEW KARNER ROAD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-456-2060",
            "fax_number": "518-456-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 NEW KARNER ROAD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-456-2060",
            "fax_number": "518-456-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKLE",
        "first_name": "VANCE",
        "middle_name": "R.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R034586-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Habersang, LMSW
• Amr A Habib, D.D.S
• Marguerite Halim Habib, RPH
• Nazia Habib, M.D.
• Yuliya Habib, PHARM.D.
• Fareed Haddad, M.D.
• Stefanos Farhan Haddad, MD
• Gordon Stephen Hadsell Jr.
• Matthew James Haessig, M.S.
• Jean-Paul Hafner, MD

• Social Worker in Albany, NY
• Providers in Albany, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.