Amy Ellis McCracken, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R039755 Issued in NY

Practice address

239 Golden Hill LN
Ulster County Mental Health Department
Kingston, NY 12401-6441

Phone

(845) 340-4179

Fax

(845) 340-4094

NPI assigned

Nov 6, 2006

Last updated

Aug 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amy Ellis McCracken Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1518046960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 GOLDEN HILL LN",
            "address_2": "ULSTER COUNTY MENTAL HEALTH DEPARTMENT",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016441",
            "telephone_number": "845-340-4179",
            "fax_number": "845-340-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 GOLDEN HILL LN",
            "address_2": "ULSTER COUNTY MENTAL HEALTH DEPARTMENT",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016441",
            "telephone_number": "845-340-4179",
            "fax_number": "845-340-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "AMY",
        "middle_name": "ELLIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R039755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02467054",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MCCRACKEN",
            "middle_name": "ELLIS",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Susan Anne McCarthy, RN
• Marian A. McClellan, M.S.W., LCSW-R
• Rita McClernan Wood
• Jayne McCloskey, LMT
• Craig S. McCoy, M.D.
• Leslie Ann McCreight, AU.D.
• Alicia McDonald
• Morgan Denise McDonald, PA
• Nicole Mary McDonald, DC
• Aileen Marie McElrath, OTR

• Clinical Social Worker in Kingston, NY
• Providers in Kingston, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.