Active NPI
Lauren Hodlin, LMSW
- Social Worker
- Guilderland, NY
National Provider Identifier
1619460656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104253
- Practice address
- 6072 State Farm Rd
Guilderland, NY 12084 - Phone
- (518) 491-8980
- NPI assigned
- Jun 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | 104253 | NY | Primary |
Addresses
Primary practice location
6072 State Farm Rd
Guilderland, NY 12084
Mailing address
6072 State Farm Rd
Guilderland, NY 12084-9532
Phone (518) 431-1650
Other practice location 1
401 New Karner Rd
Albany, NY 12205-3854
Phone (518) 491-8980
Other practice location 2
6072 State Farm Rd
Guilderland, NY 12084
Phone (518) 491-8980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104253 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parsons Child and Family Center | Past | 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 and National Provider Directory roles.
-
- Custodial Care Facility
- Albany, NY
- NPI 1922171305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1619460656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6072 STATE FARM RD",
"city": "GUILDERLAND",
"state": "NY",
"postal_code": "120849532",
"telephone_number": "518-431-1650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6072 STATE FARM RD",
"city": "GUILDERLAND",
"state": "NY",
"postal_code": "12084",
"telephone_number": "518-491-8980"
}
],
"practiceLocations": [
{
"address_1": "401 New Karner Rd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122053854",
"country_code": "US",
"telephone_number": "518-491-8980",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6072 State Farm Rd",
"address_purpose": "LOCATION",
"city": "Guilderland",
"state": "NY",
"postal_code": "12084",
"country_code": "US",
"telephone_number": "518-491-8980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HODLIN",
"first_name": "LAUREN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "104253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guilderland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.