Individual provider Active NPI

Beth Ailene Waldo, LCSW

  • Clinical Social Worker
  • New Windsor, NY
National Provider Identifier
1699925792
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0181493-1 Issued in NY
Practice address
10 Kayleen Dr
New Windsor, NY 12553-0000
Phone
(845) 565-8447
NPI assigned
Sep 25, 2008
Last updated
Jan 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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 0181493-1 NY Primary

Addresses

Primary practice location

10 Kayleen Dr
New Windsor, NY 12553-0000

Mailing address

10 Kayleen Dr
New Windsor, NY 12553-7030
Phone (845) 565-8447

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
I20150917000563 NY Practitioner - Clinical Social Worker 2961719349 Practice locations: New Windsor, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

555 Blooming Grove Tpke
Suite 101
New Windsor, NY 12553-7843
Phone (845) 565-6888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0181493-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Counseling Group Clinical Past Accepting new patients
Windsor Counseling Group Past Accepting new patients
Beth a Waldo Windsor Counseling East Clinical PastSince Jun 25, 2015 Accepting new patients

Organizations & group practices 3

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": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1699925792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 KAYLEEN DR",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537030",
            "telephone_number": "845-565-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 KAYLEEN DR",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125530000",
            "telephone_number": "845-565-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDO",
        "first_name": "BETH",
        "middle_name": "AILENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0181493-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

Verify at the official NPI Registry.