Active NPI
Patricia Ann Wood, LCSW NEW YORK STATE
- Social Worker
- Castleton, NY
National Provider Identifier
1508152588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 072194-1
- Practice address
- 1216 Maple Hill Road
Maple Hill High School
Castleton, NY 12033 - Phone
- (518) 732-7701
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 072194-1 | NY | Primary |
Addresses
Primary practice location
1216 Maple Hill Road
Maple Hill High School
Castleton, NY 12033
Mailing address
1630 Mid-State Lane
Castleton, NY 12033-1705
Phone (518) 732-2868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072194-1 | Other | NY | LICENSED CLINICAL SOCIAL WORKER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 072194-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1508152588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 MID-STATE LANE",
"city": "CASTLETON",
"state": "NY",
"postal_code": "120331705",
"telephone_number": "518-732-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 MAPLE HILL ROAD",
"address_2": "MAPLE HILL HIGH SCHOOL",
"city": "CASTLETON",
"state": "NY",
"postal_code": "12033",
"telephone_number": "518-732-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LCSW NEW YORK STATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "072194-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "072194-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Castleton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.