Individual provider Active NPI

Edward James Schnecker, LMSW

  • Social Worker
  • Beacon, NY
National Provider Identifier
1801695499
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
116243-01 Issued in NY
Practice address
1183 North Ave
Beacon, NY 12508-1700
Phone
(917) 300-1332
NPI assigned
Mar 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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 116243-01 NY Primary

Addresses

Primary practice location

1183 North Ave
Beacon, NY 12508-1700

Mailing address

530 Barberry LN
New Windsor, NY 12553-5460
Phone (914) 552-1084

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
116243-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Psychological Services PLLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

1183 North Ave
Beacon, NY 12508
Phone (917) 300-1332

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": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1801695499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BARBERRY LN",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535460",
            "telephone_number": "914-552-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 NORTH AVE",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125081700",
            "telephone_number": "917-300-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNECKER",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "116243-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beacon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.