Individual provider Active NPI

Janice Russo McSpiritt, L.C.S.W.

  • Clinical Social Worker
  • Amenia, NY
National Provider Identifier
1790068302
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R039033-1 Issued in NY
Practice address
175 Haight Rd
Amenia, NY 12501-5208
Phone
(845) 373-4122
Fax
(845) 373-4125
NPI assigned
Sep 21, 2011
Last updated
Nov 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 R039033-1 NY Primary
School Social Worker 1041S0200X R039033-1 NY

Addresses

Primary practice location

175 Haight Rd
Amenia, NY 12501-5208

Mailing address

PO Box 400
175 Haight Rd Webutuck Elementary School
Amenia, NY 12501
Phone (845) 373-4122

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
R039033-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1790068302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "address_2": "175 HAIGHT RD WEBUTUCK ELEMENTARY SCHOOL",
            "city": "AMENIA",
            "state": "NY",
            "postal_code": "12501",
            "telephone_number": "845-373-4122",
            "fax_number": "845-373-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HAIGHT RD",
            "city": "AMENIA",
            "state": "NY",
            "postal_code": "125015208",
            "telephone_number": "845-373-4122",
            "fax_number": "845-373-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSPIRITT",
        "first_name": "JANICE",
        "middle_name": "RUSSO",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R039033-1",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "R039033-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amenia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.