Individual provider Active NPI

Elaine Goddiess Scherdin, LCSW

  • Social Worker
  • New Windsor, NY
National Provider Identifier
1811985682
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0458611 Issued in NY
Practice address
10 Kayleen Dr
Windsor Counseling Group
New Windsor, NY 12553-7030
Phone
(845) 565-6888
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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 0458611 NY Primary

Addresses

Primary practice location

10 Kayleen Dr
Windsor Counseling Group
New Windsor, NY 12553-7030

Mailing address

10 Kayleen Dr
Windsor Counseling Group, 10 Kayleen Drive
New Windsor, NY 12553-7030
Phone (845) 565-6888

Other identifiers 1

IdentifierTypeStateIssuer
00542503MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0458611NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Counseling Group Past Accepting new patients
Windsor Counseling Group Past Accepting new patients

Organizations & group practices 2

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1811985682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 KAYLEEN DR",
            "address_2": "WINDSOR COUNSELING GROUP, 10 KAYLEEN DRIVE",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537030",
            "telephone_number": "845-565-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 KAYLEEN DR",
            "address_2": "WINDSOR COUNSELING GROUP",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537030",
            "telephone_number": "845-565-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERDIN",
        "first_name": "ELAINE",
        "middle_name": "GODDIESS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0458611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00542503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.