Individual provider Active NPI

Carolyn H Hatfield, L.C.S.W.

  • Clinical Social Worker
  • Mount Vernon, NY
National Provider Identifier
1588847792
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087200-1 Issued in NY
Practice address
256 Washington St Ste 2
Mount Vernon, NY 10553-1056
Phone
(914) 613-0700
Fax
(914) 273-7256
NPI assigned
Dec 11, 2007
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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 087200-1 NY Primary

Addresses

Primary practice location

256 Washington St Ste 2
Mount Vernon, NY 10553-1056

Mailing address

16 Leroy Place
Yonkers, NY 10705
Phone (914) 844-6505

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
I20201103000675 NY Practitioner - Clinical Social Worker 6406266493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Guidance Center of Westchester, IncGroup PAC ID 8325939432, 11 clinicians

Practice addresses (Care Compare)

256 Washington St
Suite 2
Mount Vernon, NY 10553-1056
Phone 91461307003338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087200-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center of Westchester, Inc CurrentSince Aug 17, 2020 Accepting new patients
Arms Acres Inc Past Accepting new patients
The Guidance Center of Westchester PastSince May 16, 2021 Accepting new patients

Locations

256 Washington St
Mount Vernon, NY 10553
Phone (914) 297-3356

256 Washington St
Ste 2
Mount Vernon, NY 10553
Phone 91461307003338

20 Sickles Ave
New Rochelle, NY 10801
Phone (914) 632-1374

Interoperability endpoints

  • Direct secure messaging: carolyn.hatfield.1@30520.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1588847792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LEROY PLACE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10705",
            "telephone_number": "914-844-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 WASHINGTON ST STE 2",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531056",
            "telephone_number": "914-613-0700",
            "fax_number": "914-273-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "CAROLYN",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087200-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.