Individual provider Active NPI

Philomena Moriarty, L.C.S.W.

  • Clinical Social Worker
  • Altamont, NY
National Provider Identifier
1659688950
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R032110-1 Issued in NY
Practice address
1 Marian CT
Altamont, NY 12009-6215
Phone
(518) 788-7007
NPI assigned
Sep 8, 2010
Last updated
Sep 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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 R032110-1 NY Primary

Addresses

Primary practice location

1 Marian CT
Altamont, NY 12009-6215

Mailing address

1 Marian CT.
Altamont, NY 12009-6215
Phone (518) 788-7007

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
I20200912000009 NY Practitioner - Clinical Social Worker 8224269394 Practice locations: East Greenbush, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

57 Rockrose Dr
East Greenbush, NY 12061-1673
Phone (518) 788-7007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R032110-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Psychiatric and Associated Services PC Clinical 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, 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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1659688950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARIAN CT.",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "120096215",
            "telephone_number": "518-788-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARIAN CT",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "120096215",
            "telephone_number": "518-788-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "PHILOMENA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R032110-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamont, NY

Sources for this page

Verify at the official NPI Registry.