Individual provider Active NPI

Dana A Scuderi, LCSW

  • Clinical Social Worker
  • Andes, NY
National Provider Identifier
1699050245
Registry record updated Dec 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098391 Issued in NY
Practice address
10120 Cabin Hill Road
Andes, NY 13731-0000
Phone
(475) 206-8965
NPI assigned
Oct 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 096757 NY
Clinical Social Worker 1041C0700X 098391 NY Primary

Addresses

Primary practice location

10120 Cabin Hill Road
Andes, NY 13731-0000

Mailing address

10120 Cabin Hill Road
Andes, NY 13731-0000
Phone (475) 206-8965

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
I20250227001916 NY Practitioner - Clinical Social Worker 7214457704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096757NYMDClinical Social Worker
098391NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Scuderi LCSW PLLC Clinical CurrentSince Jan 14, 2025 Accepting new patients
Nicole Gerace LCSW PLLC PastSince Jan 1, 2017 Accepting new patients

Organizations & group practices 2

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": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733011200000",
    "number": "1699050245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 CABIN HILL ROAD",
            "city": "ANDES",
            "state": "NY",
            "postal_code": "137310000",
            "telephone_number": "475-206-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 CABIN HILL ROAD",
            "city": "ANDES",
            "state": "NY",
            "postal_code": "137310000",
            "telephone_number": "475-206-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUDERI",
        "first_name": "DANA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096757",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andes, NY

Sources for this page

Verify at the official NPI Registry.