Individual provider Active NPI

Linda Ardinger-Mateo

  • Clinical Social Worker
  • Peekskill, NY
National Provider Identifier
1598813057
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R025775 Issued in NY
Practice address
87 Hemlock Cir
Peekskill, NY 10566-4966
Phone
(914) 737-4331
Fax
(914) 737-4331
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 R025775 NY Primary

Addresses

Primary practice location

87 Hemlock Cir
Peekskill, NY 10566-4966

Mailing address

87 Hemlock Cir
Peekskill, NY 10566-4966
Phone (914) 737-4331

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
I20130213000003 NY Practitioner - Clinical Social Worker 4284888678 Practice locations: Peekskill, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

87 Hemlock Cir
Peekskill, NY 10566-4966
Phone (914) 737-4331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R025775NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Personalized Counseling Services Clinical PastSince Dec 13, 2017 Accepting new patients

Organizations & group practices 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598813057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 HEMLOCK CIR",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105664966",
            "telephone_number": "914-737-4331",
            "fax_number": "914-737-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 HEMLOCK CIR",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105664966",
            "telephone_number": "914-737-4331",
            "fax_number": "914-737-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDINGER-MATEO",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R025775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

Verify at the official NPI Registry.