Individual provider Active NPI

Carolyn Rounds Boris, LCSW-R

  • Clinical Social Worker
  • New Paltz, NY
National Provider Identifier
1669570602
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R025276-1 Issued in NY
Practice address
301 Briarwood CT
New Paltz, NY 12561-1540
Phone
(845) 255-2617
Fax
(845) 256-0868
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 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 R025276-1 NY Primary

Addresses

Primary practice location

301 Briarwood CT
New Paltz, NY 12561-1540

Mailing address

301 Briarwood CT
New Paltz, NY 12561-1540
Phone (845) 255-2617

Other identifiers 3

IdentifierTypeStateIssuer
0065022OtherNYGHI/VALUE OPITONS
P531159OtherNYOXFORD
11237602OtherNYCAQH

Other names 1

  • Ms. Carolyn Rounds Professional name

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
I20060328000274 NY Practitioner - Clinical Social Worker 8224046578 Practice locations: New Paltz, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Briarwood CT
New Paltz, NY 12561-1540
Phone (845) 255-2617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R025276-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1669570602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BRIARWOOD CT",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611540",
            "telephone_number": "845-255-2617",
            "fax_number": "845-256-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BRIARWOOD CT",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611540",
            "telephone_number": "845-255-2617",
            "fax_number": "845-256-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORIS",
        "first_name": "CAROLYN",
        "middle_name": "ROUNDS",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R025276-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI/VALUE OPITONS",
            "identifier": "0065022",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P531159",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11237602",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "ROUNDS",
            "prefix": "MS.",
            "credential": "LCSW-R",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Paltz, NY

Sources for this page

Verify at the official NPI Registry.