Individual provider Active NPI

Elisabeth Ameln, LCSW

  • Clinical Social Worker
  • Hudson, NY
National Provider Identifier
1669867636
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082548-1 Issued in NY
Practice address
325 Columbia St
Hudson, NY 12534-1902
Phone
(518) 828-9446
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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 082548-1 NY Primary

Addresses

Primary practice location

325 Columbia St
Hudson, NY 12534-1902

Mailing address

234 Allen St
Hudson, NY 12534-2107
Phone (610) 357-8012

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
I20150522000483 NY Practitioner - Clinical Social Worker 9436479052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia CountyGroup PAC ID 8022003409, 16 clinicians

Practice addresses (Care Compare)

325 Columbia St
Suite 300
Hudson, NY 12534-1931
Phone (518) 828-9446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082548-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia County CurrentSince Apr 6, 2015 Accepting new patients
Columbia County CurrentSince Apr 6, 2015 Accepting new patients

Locations

325 Columbia St
Ste 300
Hudson, NY 12534
Phone 51882894461213

325 Columbia St
Hudson, NY 12534

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1669867636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 ALLEN ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342107",
            "telephone_number": "610-357-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 COLUMBIA ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341902",
            "telephone_number": "518-828-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMELN",
        "first_name": "ELISABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082548-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.