Individual provider Active NPI

Louann Saine, L.C.S.W.

  • Clinical Social Worker
  • Tappan, NY
National Provider Identifier
1528124658
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R041107 Issued in NY
Practice address
56 Hickory Hill Rd
Tappan, NY 10983-1804
Phone
(845) 359-6442
Fax
(845) 365-0365
NPI assigned
Jan 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R041107 NY Primary

Addresses

Primary practice location

56 Hickory Hill Rd
Tappan, NY 10983-1804

Mailing address

56 Hickory Hill Rd
Tappan, NY 10983-1804
Phone (845) 359-6442

Other identifiers 1

IdentifierTypeStateIssuer
R041107OtherNYNEW YORK STATE LICENSE

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

LicenseStateTypeSpecialty
R041107NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528124658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 HICKORY HILL RD",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109831804",
            "telephone_number": "845-359-6442",
            "fax_number": "845-365-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 HICKORY HILL RD",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109831804",
            "telephone_number": "845-359-6442",
            "fax_number": "845-365-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINE",
        "first_name": "LOUANN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R041107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "R041107",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tappan, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.