Individual provider Active NPI

Sandra R Bertolino Crapanzano, LCSW-R

  • Clinical Social Worker
  • Washingtonville, NY
National Provider Identifier
1598939134
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0382101 Issued in NY
Practice address
10 Weathervane Dr
Washingtonville, NY 10992-2242
Phone
(845) 496-5437
Fax
(845) 496-7640
NPI assigned
Apr 15, 2008
Last updated
Oct 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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 R0382101 NY Primary

Addresses

Primary practice location

10 Weathervane Dr
Washingtonville, NY 10992-2242

Mailing address

22 Saw Mill River Rd
Hawthorne, NY 10532-1533
Phone (845) 496-5437

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
I20090429000026 NY Practitioner - Clinical Social Worker 9133277296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston Children's Health Physicians LLPGroup PAC ID 8325937014, 80 clinicians

Practice addresses (Care Compare)

19 Bradhurst Ave
Hawthorne, NY 10532-2140
Phone (914) 493-7235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0382101NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Children's Health Physicians, LLP CurrentSince Jan 1, 2014 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Jan 1, 2014 Accepting new patients

Locations

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

10 Weathervane Dr
Washingtonville, NY 10992
Phone (845) 496-1966

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1598939134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SAW MILL RIVER RD",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321533",
            "telephone_number": "845-496-5437",
            "fax_number": "845-496-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WEATHERVANE DR",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109922242",
            "telephone_number": "845-496-5437",
            "fax_number": "845-496-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLINO CRAPANZANO",
        "first_name": "SANDRA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0382101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washingtonville, NY

Sources for this page

Verify at the official NPI Registry.