C Thaddea Compain, LCSW
Individual provider Active NPI Social Worker · Saugerties, NY
NPI 1508975244 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1508975244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- R024245 (NY)
- Practice address
- 172 Main St
Saugerties, NY 12477-1355 - Phone
- (845) 389-0445
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10 Cantines Island LN
Saugerties, NY 12477-1840
Phone (845) 389-0445
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110302000853 | NY | Practitioner - Clinical Social Worker | 4789774217 | Practice locations: Saugerties, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R024245 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R024245 | NY | Yes |
Addresses
Primary practice location
172 Main St
Saugerties, NY 12477-1355
Mailing address
PO Box 518
Saugerties, NY 12477-0518
Phone (845) 389-0445
Other providers in Saugerties, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.