Individual provider Active NPI

Cheryl Schimmel, L.C.S.W; CASAC

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1730431412
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087960-1 Issued in NY
Practice address
125 Wolf Rd
Albany, NY 12205-1221
Phone
(518) 526-2927
NPI assigned
Oct 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X 087960 NY
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 087960-1 NY Primary

Addresses

Primary practice location

125 Wolf Rd
Albany, NY 12205-1221

Mailing address

125 Wolf Rd Ste 503-8
Albany, NY 12205-1251
Phone (518) 526-2927

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
I20190508000146 NY Practitioner - Clinical Social Worker 9436491636 Practice locations: Albany, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

125 Wolf Rd
Suite 503 8
Albany, NY 12205-1251
Phone (518) 526-2927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087960-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy LCSW Counseling Services PC Clinical 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1730431412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WOLF RD STE 503-8",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051251",
            "telephone_number": "518-526-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WOLF RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051221",
            "telephone_number": "518-526-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIMMEL",
        "first_name": "CHERYL",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W; CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087960",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087960-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.