Individual provider Active NPI

Terry Suzanne Royne, LCSW

  • Clinical Social Worker
  • Rensselaer, NY
National Provider Identifier
1801039029
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R044674 Issued in NY
Practice address
295 Valley View Blvd
Rensselaer, NY 12144-9307
Phone
(518) 285-8100
Fax
(518) 285-8145
NPI assigned
Apr 17, 2009
Last updated
Apr 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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 R044674 NY Primary
Hospice Registered Nurse 163WH1000X 321661 NY

Addresses

Primary practice location

295 Valley View Blvd
Rensselaer, NY 12144-9307

Mailing address

13 Herber Ave
Delmar, NY 12054-2003
Phone (518) 506-8758

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
R044674NYMDClinical Social Worker
321661NYMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Community Hospice, Inc Past 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, 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": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1801039029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HERBER AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120542003",
            "telephone_number": "518-506-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 VALLEY VIEW BLVD",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449307",
            "telephone_number": "518-285-8100",
            "fax_number": "518-285-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYNE",
        "first_name": "TERRY",
        "middle_name": "SUZANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044674",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "NY",
            "license": "321661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.