Active NPI
Barbara Komsic, LMSW
- Clinical Social Worker
- Ellenville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 084714
- Practice address
- 6 Healthy Way
Ellenville, NY 12428-5612 - Phone
- (845) 647-4500
- Fax
- (845) 647-7632
- NPI assigned
- May 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 084714 | NY | Primary |
Addresses
Primary practice location
6 Healthy Way
Ellenville, NY 12428-5612
Mailing address
6 Healthy Way
Ellenville, NY 12428-5612
Phone (845) 647-4500
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6 Healthy Way
Ellenville, NY 12428-5612
Phone (845) 647-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084714 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Institute for Family Health | Clinical | Current | Accepting new patients |
| The Institute for Family Health | Clinical | Current | Accepting new patients |
| The Institute for Family Health | Clinical | Current | Accepting new patients |
Locations
6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500
1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562
279 Main St
Ste 204
New Paltz, NY 12561
Phone (845) 255-3046
1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200
16 E 16th St
New York, NY 10003
Phone (212) 633-0800
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1669649489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HEALTHY WAY",
"city": "ELLENVILLE",
"state": "NY",
"postal_code": "124285612",
"telephone_number": "845-647-4500",
"fax_number": "845-647-7632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 HEALTHY WAY",
"city": "ELLENVILLE",
"state": "NY",
"postal_code": "124285612",
"telephone_number": "845-647-4500",
"fax_number": "845-647-7632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMSIC",
"first_name": "BARBARA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "084714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellenville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.