Active NPI
Elaine Goddiess Scherdin, LCSW
- Social Worker
- New Windsor, NY
National Provider Identifier
1811985682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0458611
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00542503 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0458611 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Marriage & Family Therapist
- New Windsor, NY
- NPI 1295803997
-
- Community/Behavioral Health Agency
- Middletown, NY
- NPI 1306239306
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.