Individual provider Active NPI

Stephanie M Musliner, LCSW

  • Social Worker
  • Niskayuna, NY
National Provider Identifier
1801423959
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
108220 Issued in NY
Practice address
2310 Nott Street East
Suite 3
Niskayuna, NY 12309
Phone
(518) 374-6263
Fax
(518) 289-5225
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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 108220 NY Primary

Addresses

Primary practice location

2310 Nott Street East
Suite 3
Niskayuna, NY 12309

Mailing address

5 Hemphill Place
Suite 121
Malta, NY 12020-4423
Phone (518) 289-5072

Other names 1

  • Stephanie M Carlson Former name

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
I20231003000684 NY Order and Referring Only - Clinical Social Worker 8527412006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108220NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Union Street Counseling Services, LLC CurrentSince Jun 23, 2024 Accepting new patients

Locations

5 Hemphill Pl
Ste 121
Malta, NY 12020
Phone (518) 289-5072

2310 Nott St E
Ste 3
Niskayuna, NY 12309
Phone (518) 374-6263

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1801423959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HEMPHILL PLACE",
            "address_2": "SUITE 121",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204423",
            "telephone_number": "518-289-5072",
            "fax_number": "518-289-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 NOTT STREET EAST",
            "address_2": "SUITE 3",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "12309",
            "telephone_number": "518-374-6263",
            "fax_number": "518-289-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSLINER",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-06-17",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "108220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "CARLSON",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niskayuna, NY

Sources for this page

Verify at the official NPI Registry.