Individual provider Active NPI

Madelyn Ethel Shorr, LCSWR

  • Clinical Social Worker
  • Kingston, NY
National Provider Identifier
1760698476
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0105271 Issued in NY
Practice address
18 Browning Ter
Kingston, NY 12401-4312
Phone
(845) 514-2106
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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 R0105271 NY Primary

Addresses

Primary practice location

18 Browning Ter
Kingston, NY 12401-4312

Mailing address

18 Browning Ter
Kingston, NY 12401-4312
Phone (845) 514-2106

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0105271NYMDClinical Social Worker
010527NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Errol R. Nadler LCSW, P.C. Clinical PastSince Sep 1, 1998 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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1760698476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BROWNING TER",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014312",
            "telephone_number": "845-514-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 BROWNING TER",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014312",
            "telephone_number": "845-514-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORR",
        "first_name": "MADELYN",
        "middle_name": "ETHEL",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0105271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.