Christine Beth Carville, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077953 Issued in NY

Practice address

496 John Joy Rd
Woodstock, NY 12498-2245

Phone

(917) 674-3421

NPI assigned

Sep 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

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.

• Postgraduate Center for Mental Health

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1629127725
  NPD (past)

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1821246448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 JOHN JOY RD",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124982245",
            "telephone_number": "917-674-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 JOHN JOY RD",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124982245",
            "telephone_number": "917-674-3421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 E 4th St",
            "address_2": "suite 2RE",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100037006",
            "country_code": "US",
            "telephone_number": "917-674-3421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVILLE",
        "first_name": "CHRISTINE",
        "middle_name": "BETH",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72075527",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Bloom
• Emily Boone
• Maureen Ellen Brady, PT
• Patricia A Brescia-Cantine, LCSW
• Kelly Carrone, LCSW
• Thomas Caulfield, PHARM.D RPH
• Leila Suzanne Clark, LMSW, LPN
• Collective Insight Center Inc
• Compassionate Integrations Incorporated
• Kelly Rae Conti

• Clinical Social Worker in Woodstock, NY
• Providers in Woodstock, 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 Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.