Mildred Roldan Restivo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0417591 Issued in NY

Practice address

426 Franklin St
Schenectady, NY 12305-2040

Phone

(518) 374-3403

Fax

(518) 374-3482

NPI assigned

Mar 31, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1740505999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 FRANKLIN ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052040",
            "telephone_number": "518-374-3403",
            "fax_number": "518-374-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 FRANKLIN ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052040",
            "telephone_number": "518-374-3403",
            "fax_number": "518-374-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTIVO",
        "first_name": "MILDRED",
        "middle_name": "ROLDAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0417591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Reopell
• Sam Nikko Repasky, LMSW
• Daniella Janae Requate
• Ashley Marie Resetarits, PA-C
• Joelsen Resimo, LCSW
• Christopher David Rettig, PT,DPT
• Raphael Angela Revella, MSW
• Juanito Antonio Santiago Reyes, M.D.
• Debra Marie Rhoades, LCSW, CASAC
• Paige M Rhodes, OT

• Clinical Social Worker in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.