Individual provider Active NPI

Heather Arnold, LCSW

  • Clinical Social Worker
  • Cincinnatus, NY
National Provider Identifier
1760081012
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097408 Issued in NY
Practice address
4305 Baker School House Rd
Cincinnatus, NY 13040-2201
Phone
(607) 283-3374
NPI assigned
Oct 19, 2020
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 106576 NY
Clinical Social Worker 1041C0700X 097408 NY Primary

Addresses

Primary practice location

4305 Baker School House Rd
Cincinnatus, NY 13040-2201

Mailing address

4305 Baker School House Rd
Cincinnatus, NY 13040-2201

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
I20240415001967 NY Practitioner - Clinical Social Worker 7214376946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Psychotherapy Counseling LCSW PLLCGroup PAC ID 2264827146, 3 clinicians

Practice addresses (Care Compare)

4080 Hempstead Tpke
Bethpage, NY 11714-5604
Phone (516) 738-4844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106576NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rivia Medical PLLC CurrentSince Mar 6, 2024 Accepting new patients
Metro Psychotherapy Counseling LCSW PLLC Clinical CurrentSince Feb 1, 2025 Accepting new patients
William George Agency PastSince Oct 1, 2020 Accepting new patients

Locations

4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844

274 Madison Ave
Rm 1501
New York, NY 10016
Phone (212) 202-1773

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1760081012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 BAKER SCHOOL HOUSE RD",
            "city": "CINCINNATUS",
            "state": "NY",
            "postal_code": "130402201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 BAKER SCHOOL HOUSE RD",
            "city": "CINCINNATUS",
            "state": "NY",
            "postal_code": "130402201",
            "telephone_number": "607-283-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "106576",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnatus, NY

Sources for this page

Verify at the official NPI Registry.