Individual provider Active NPI

Cindy Belch Vandermark, LCSW

  • School Social Worker
  • Poughkeepsie, NY
National Provider Identifier
1750658571
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
072413 Issued in NY
Practice address
601 Dutchess Tpke
Poughkeepsie, NY 12603-1922
Phone
(845) 486-4480
Fax
(845) 486-4019
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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 072413 NY
School Social Worker 1041S0200X 072413 NY Primary

Addresses

Primary practice location

601 Dutchess Tpke
Poughkeepsie, NY 12603-1922

Mailing address

601 Dutchess Tpke
Poughkeepsie, NY 12603-1922
Phone (845) 486-4480

Other identifiers 1

IdentifierTypeStateIssuer
072413MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
072413NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1750658571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DUTCHESS TPKE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031922",
            "telephone_number": "845-486-4480",
            "fax_number": "845-486-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DUTCHESS TPKE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031922",
            "telephone_number": "845-486-4480",
            "fax_number": "845-486-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMARK",
        "first_name": "CINDY",
        "middle_name": "BELCH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072413",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "072413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072413",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.