Individual provider Active NPI

Karissa Setera

  • Social Worker
  • Poughkeepsie, NY
National Provider Identifier
1801221098
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
089977 Issued in NY
Practice address
10 Ross Cir
Poughkeepsie, NY 12601-1078
Phone
(845) 454-8229
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 089977 NY Primary

Addresses

Primary practice location

10 Ross Cir
Poughkeepsie, NY 12601-1078

Mailing address

10 Ross Cir
Poughkeepsie, NY 12601-1078

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
I20180322000090 NY Practitioner - Clinical Social Worker 8123380656 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089977NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Vista Medical,PC CurrentSince Nov 9, 2024 Accepting new patients

Locations

19 Laurel Ave
Ste LL1
Cornwall, NY 12518
Phone (845) 534-7080

19 Laurel Ave
#1
Cornwall, NY 12518
Phone (845) 534-7080

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1801221098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROSS CIR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ROSS CIR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011078",
            "telephone_number": "845-454-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETERA",
        "first_name": "KARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.