Individual provider Active NPI

Meryle Kreuter, LCSW

  • Clinical Social Worker
  • Yorktown Heights, NY
National Provider Identifier
1699725135
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072786 Issued in NY
Practice address
1929 Commerce St Ste 5B
Yorktown Heights, NY 10598-4435
Phone
(914) 584-3287
Fax
(914) 455-8055
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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
Clinical Social Worker 1041C0700X 072786 NY Primary

Addresses

Primary practice location

1929 Commerce St Ste 5B
Yorktown Heights, NY 10598-4435

Mailing address

PO Box 333
Yorktown Heights, NY 10598-0333
Phone (914) 584-3287

Other identifiers 1

IdentifierTypeStateIssuer
00072786MedicaidNY

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
I20060911000011 NY Practitioner - Clinical Social Worker 1456355239 Practice locations: Yorktown Heights, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1929 Commerce St
Suite 5B
Yorktown Heights, NY 10598-4435
Phone (914) 584-3287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072786NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory I. Mack, PH.D.:Clinical, Police & Forensic Psych SVS PLLC Past Accepting new patients
Julia Dyckman Andrus Memorial, Inc. PastSince Apr 1, 2005 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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1699725135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105980333",
            "telephone_number": "914-584-3287",
            "fax_number": "914-455-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 COMMERCE ST STE 5B",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984435",
            "telephone_number": "914-584-3287",
            "fax_number": "914-455-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUTER",
        "first_name": "MERYLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00072786",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.