Individual provider Active NPI

Eileen Steckler, LCSW

  • Clinical Social Worker
  • New City, NY
National Provider Identifier
1669544573
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR0236041 Issued in NY
Practice address
32 Concord Dr
New City, NY 10956-4037
Phone
(845) 634-2794
Fax
(845) 634-3887
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PR0236041 NY Primary

Addresses

Primary practice location

32 Concord Dr
New City, NY 10956-4037

Mailing address

32 Concord Dr
New City, NY 10956-4037
Phone (845) 634-2794

Other identifiers 4

IdentifierTypeStateIssuer
0063434OtherGROUP HEALTH INCORAPTED
01943457MedicaidNY
5931324OtherAETNA INS COMPANY
PR0236041OtherHIP INS CO

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR0236041NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669544573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CONCORD DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564037",
            "telephone_number": "845-634-2794",
            "fax_number": "845-634-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CONCORD DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564037",
            "telephone_number": "845-634-2794",
            "fax_number": "845-634-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKLER",
        "first_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0236041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INCORAPTED",
            "identifier": "0063434",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01943457",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS COMPANY",
            "identifier": "5931324",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP INS CO",
            "identifier": "PR0236041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • 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.