Individual provider Active NPI

Terra Sentiwany Stone, LMSW

  • Clinical Social Worker
  • Latham, NY
National Provider Identifier
1669796017
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075012 Issued in NY
Practice address
636 New Loudon Rd
Latham, NY 12110-4002
Phone
(518) 783-5381
Fax
(518) 783-0125
NPI assigned
Mar 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 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 075012 NY Primary

Addresses

Primary practice location

636 New Loudon Rd
Latham, NY 12110-4002

Mailing address

636 New Loudon Rd
Latham, NY 12110-4002
Phone (518) 783-5381

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
075012NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1669796017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104002",
            "telephone_number": "518-783-5381",
            "fax_number": "518-783-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104002",
            "telephone_number": "518-783-5381",
            "fax_number": "518-783-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENTIWANY STONE",
        "first_name": "TERRA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.