Individual provider Active NPI

Sarahrose Hogan, LCSW-R

  • Clinical Social Worker
  • Kingston, NY
National Provider Identifier
1750779476
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086613 Issued in NY
Practice address
175 Green St
Kingston, NY 12401-3716
Phone
(845) 532-9460
NPI assigned
Jan 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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 086613 NY Primary

Addresses

Primary practice location

175 Green St
Kingston, NY 12401-3716

Mailing address

175 Green St
Kingston, NY 12401-3716
Phone (845) 532-9460

Other practice location 1

46 Lincoln Ave
Poughkeepsie, NY 12601-4518
Phone (845) 471-6004

Other practice location 2

5 Playhouse Ln
Woodstock, NY 12498-1609
Phone (845) 532-9460

Other practice location 3

101 Hurley Ave Ste 17
Kingston, NY 12401-2800
Phone (845) 532-9460

Other identifiers 1

IdentifierTypeStateIssuer
06905224MedicaidNY

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
I20230116000337 NY Practitioner - Clinical Social Worker 2769853530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

175 Green St
Kingston, NY 12401-3716
Phone (845) 532-9460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sarahrose Hogan LCSW PLLC CurrentSince Sep 8, 2022 Accepting new patients

Locations

112 N Front St
Kingston, NY 12401
Phone (845) 338-5450

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": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1750779476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 GREEN ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013716",
            "telephone_number": "845-532-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 GREEN ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013716",
            "telephone_number": "845-532-9460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126014518",
            "country_code": "US",
            "telephone_number": "845-471-6004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Playhouse Ln",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "NY",
            "postal_code": "124981609",
            "country_code": "US",
            "telephone_number": "845-532-9460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Hurley Ave Ste 17",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124012800",
            "country_code": "US",
            "telephone_number": "845-532-9460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "SARAHROSE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06905224",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.