Individual provider Active NPI

Christine H. Fewell, PHD, LCSW, CASAC

  • Clinical Social Worker
  • Hastings on Hudson, NY
National Provider Identifier
1558467449
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR012623-1 Issued in NY
Practice address
4 Nichols Dr
Hastings on Hudson, NY 10706-3525
Phone
(914) 478-2040
NPI assigned
Sep 16, 2006
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 PR012623-1 NY Primary

Addresses

Primary practice location

4 Nichols Dr
Hastings on Hudson, NY 10706-3525

Mailing address

4 Nichols Dr
Hastings on Hudson, NY 10706-3525
Phone (914) 478-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127001079 NY Practitioner - Clinical Social Worker 2769432640 Practice locations: Hastings-on-Hudson, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14 E 4TH St
RM 401
New York, NY 10012-1141
Phone (212) 228-0074

4 Nichols Dr
Hastings on Hudson, NY 10706-3525
Phone (914) 478-2040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PR012623-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558467449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NICHOLS DR",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107063525",
            "telephone_number": "914-478-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NICHOLS DR",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107063525",
            "telephone_number": "914-478-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEWELL",
        "first_name": "CHRISTINE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR012623-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings on Hudson, NY

Sources for this page

Verify at the official NPI Registry.