Individual provider Active NPI

Lori Centineo-Schwartz, LCSW -LIMITED PERMIT

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1689177628
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095324-1 Issued in NY
Practice address
301 S Allen St
Albany, NY 12208-2070
Phone
(518) 489-7777
NPI assigned
Mar 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 095324-1 NY Primary

Addresses

Primary practice location

301 S Allen St
Albany, NY 12208-2070

Mailing address

618 Vanderlyn LN
Slingerlands, NY 12159-9543
Phone (518) 461-4957

Other practice location 1

214 State St
Schenectady, NY 12305-1806
Phone (518) 372-8178

Other identifiers 1

IdentifierTypeStateIssuer
NONEMedicaidNY

Other names 1

  • Lori Centineo Former 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
I20180611001256 NY Practitioner - Clinical Social Worker 4981959244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Medical Concierge Services PLLCGroup PAC ID 0840614020, 75 clinicians

Practice addresses (Care Compare)

1785 Route 9
Halfmoon, NY 12065-2449
Phone (518) 238-6028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095324-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc Montgomery County Chapter Liberty CurrentSince May 1, 2024 Accepting new patients
Professional Medical Concierge Services, PLLC Clinical CurrentSince May 1, 2023 Accepting new patients
New Dimensions in Living Inc Past Accepting new patients
Prime Care Physicians, P.L.L.C. PastSince May 2, 2018 Accepting new patients

Locations

43 Liberty Dr
Amsterdam, NY 12010
Phone (518) 842-5080

47 Liberty Dr
Amsterdam, NY 12010
Phone (518) 840-5080

1785 Route 9
Halfmoon, NY 12065
Phone (518) 238-6028

Organizations & group practices 4

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": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1689177628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 VANDERLYN LN",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599543",
            "telephone_number": "518-461-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S ALLEN ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082070",
            "telephone_number": "518-489-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 State St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123051806",
            "country_code": "US",
            "telephone_number": "518-372-8178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENTINEO-SCHWARTZ",
        "first_name": "LORI",
        "credential": "LCSW -LIMITED PERMIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095324-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "CENTINEO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.