Josey Alaine Evanovich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088216-01 Issued in NY

Practice address

125 Middletown Rd
Waterford, NY 12188-1516

Phone

(518) 237-0800

NPI assigned

Sep 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Josey Alaine Kelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Osika and Scarano Psychological Services PC

  • Clinical Child & Adolescent Psychologist
  • Glens Falls, NY
  • NPI 1093875429
  NPD (past)
• Waterford-Halfmoon Ufsd

  • Local Education Agency (LEA)
  • Waterford, NY
  • NPI 1720143506
  NPD (past)

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1801265707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 BALLSTON AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MIDDLETOWN RD",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121881516",
            "telephone_number": "518-237-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Williams Street",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NY",
            "postal_code": "12932",
            "country_code": "US",
            "telephone_number": "518-745-0097",
            "fax_number": "518-745-4291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "391 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122031491",
            "country_code": "US",
            "telephone_number": "518-242-4731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "359 Ballston Ave",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128664723",
            "country_code": "US",
            "telephone_number": "518-587-8241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANOVICH",
        "first_name": "JOSEY",
        "middle_name": "ALAINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095877-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088216-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEY",
            "last_name": "KELLY",
            "middle_name": "ALAINE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Lynn Connor, M.S., CCC-SLP
• Kelly Cooper, REGISTERED NURSE
• Nicole Marie Cregan, FNP
• Melissa Anne Cuoco, LCSW
• Barbara Jude Delaney, R.N.
• Edward P Franks, MD
• Julianne Jeanne Furlong, LMSW
• Brandy Gagliardi, R.N.
• Leigh Anne Galioto, MS CCC SLP
• Andrew Greenberg, FNP-BC

• Clinical Social Worker in Waterford, NY
• Providers in Waterford, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.