Individual provider Active NPI

Christina M Celmer, LCSW-R

  • Clinical Social Worker
  • Troy, NY
National Provider Identifier
1679843718
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R034324 Issued in NY
Practice address
24 4TH Street
Troy, NY 12180
Phone
(518) 545-0258
Fax
(518) 437-6588
NPI assigned
Jan 6, 2012
Last updated
Nov 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9440 SC
Clinical Social Worker 1041C0700X R034324 NY Primary

Addresses

Primary practice location

24 4TH Street
Troy, NY 12180

Mailing address

160 N. Main Avenue
St. Anne Institute
Albany, NY 12206
Phone (518) 545-0258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 19, 2024 through Mar 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9440SCMDSocial Worker
R034324NYMDClinical Social Worker
034324NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Anne Institute PastSince Jan 31, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1679843718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N. MAIN AVENUE",
            "address_2": "ST. ANNE INSTITUTE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12206",
            "telephone_number": "518-545-0258",
            "fax_number": "518-437-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 4TH STREET",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-545-0258",
            "fax_number": "518-437-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELMER",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "9440",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R034324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.