Christopher John Farrell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R046139-1 Issued in NY

Practice address

114 Hardenburg Rd
Ulster Park, NY 12487-5345

Phone

(845) 331-2303

NPI assigned

Nov 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659450492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HARDENBURG RD",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875345",
            "telephone_number": "845-331-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HARDENBURG RD",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875345",
            "telephone_number": "845-331-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R046139-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "R046139-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jailene Derisse
• Voleile Derisse
• Helene Carmelle Duvivier, RN
• Early Intervention LCSW Services PC
• Rachel K. Evans, L.C.S.W.
• Emily K Feit, OTR/L
• Laurie S Flick, MSED, MAED
• Aimee Q. Gallin, L.C.S.W
• Raquel Gonzalez
• Deborah Lynne Haradon

• Clinical Social Worker in Ulster Park, NY
• Providers in Ulster Park, 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 Jul 8, 2007; 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.