Walden Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R038588-1 Issued in NY

Legal business name

WALDEN COUNSELING CENTER

Practice address

11 Walnut St
Suite 3
Walden, NY 12586-1743

Phone

(845) 778-1181

Fax

(845) 778-4716

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Roger W. Haller, LCSW

Title

Owner

Phone

(845) 778-1181

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alison Susan Nydick Haller, LCSW

  • Clinical Social Worker
  • Fishkill, NY
  • NPI 1881678019
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598899627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WALNUT ST",
            "address_2": "SUITE 3",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861743",
            "telephone_number": "845-778-1181",
            "fax_number": "845-778-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WALNUT ST",
            "address_2": "SUITE 3",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861743",
            "telephone_number": "845-778-1181",
            "fax_number": "845-778-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-778-1181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R038588-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "H0260",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "IG004789",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "098849",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P11101071",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dolores Jane Vernooy, CASAC
• Jamie L Vesely, LMT
• Carmelina Ann Vivenzio
• Catherine M Wagner, D.C.
• Walden Ambulance Corp
• Walden Medical, PLLC
• Walden Pharmacy LLC (The Medicine Shoppe)
• Catherine Grace Walker, MS, CCC-SLP
• Michael Lee Warren, CASAC
• Maureen Wassermann

• Clinical Social Worker in Walden, NY
• Providers in Walden, 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 Aug 22, 2020; 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.