Individual provider Active NPI

Linda Padroff, LCSW

  • Clinical Social Worker
  • Brewster, NY
National Provider Identifier
1699811927
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R044115-1 Issued in NY
Practice address
2505 Carmel Ave
Suite 210
Brewster, NY 10509-1122
Phone
(845) 279-5994
Fax
(845) 279-7678
NPI assigned
Jan 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R044115-1 NY Primary
Clinical Social Worker 1041C0700X 003920 CT

Addresses

Primary practice location

2505 Carmel Ave
Suite 210
Brewster, NY 10509-1122

Mailing address

18 N Beech Tree Rd
Brookfield, CT 06804-3500
Phone (845) 279-5994

Other identifiers 3

IdentifierTypeStateIssuer
7334144OtherNMGHI
374353OtherNYVALUE OPTIONS
209908OtherKYMHN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20180413000425 CT Practitioner - Clinical Social Worker 1850654484 Practice locations: Brookfield, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 N Beech Tree Rd
Brookfield, CT 06804-3500
Phone (347) 672-7201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R044115-1NYMDClinical Social Worker
003920CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SLS Residential Inc Past 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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699811927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N BEECH TREE RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043500",
            "telephone_number": "845-279-5994",
            "fax_number": "845-279-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 CARMEL AVE",
            "address_2": "SUITE 210",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091122",
            "telephone_number": "845-279-5994",
            "fax_number": "845-279-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADROFF",
        "first_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044115-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003920",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7334144",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "374353",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "209908",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

Verify at the official NPI Registry.