Patricia A. Fennell, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

031651 Issued in NY

Practice address

582 New Loudon Rd
Latham, NY 12110-4029

Phone

(518) 482-0422

Fax

(518) 783-4793

NPI assigned

Mar 12, 2007

Last updated

Nov 29, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Albany Health Management Associates, Inc.

  • Specialist
  • Latham, NY
  • NPI 1467638320
  Authorized official Same address or phone

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1598897662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104029",
            "telephone_number": "518-482-0422",
            "fax_number": "518-783-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104029",
            "telephone_number": "518-482-0422",
            "fax_number": "518-783-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "031651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01938458",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Fama, RPH
• Kaela Faraone, PHARMD
• Shirell Favor
• Fe Teresa J. McCarthy, MD
• William J Feeney, MD
• Virginia Ferguson, LCSW
• Morgon Michael Fernaays
• Frank Ferraro
• James Richard Fick, M.D.
• Charles Figel, MSW

• Clinical Social Worker in Latham, NY
• Providers in Latham, 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 Nov 29, 2011; 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.