Active NPI
Stacey Lynn Tierney-Gabler, LMSW
- Social Worker
- Ulster Park, NY
National Provider Identifier
1841463775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 071456-1
- Practice address
- 4 Rodmans LN
Ulster Park, NY 12487-5013 - Phone
- (845) 626-7444
- Fax
- (845) 626-7444
- NPI assigned
- Apr 11, 2008
- Last updated
- Apr 11, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 071456-1 | NY | Primary |
| School Social Worker | 1041S0200X | 2180628 | NY |
Addresses
Primary practice location
4 Rodmans LN
Ulster Park, NY 12487-5013
Mailing address
315 Schroon Hill Rd
Kerhonkson, NY 12446-1411
Phone (845) 626-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071456-1 | Other | NY | NYS OFFICE OF PROFESSIONS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 071456-1 | NY | MD | Social Worker |
| 2180628 | NY | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stacey Lynn Tierney-Gabler Counseling, LCSW PLLC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Saugerties, NY
- NPI 1558239178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1841463775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 SCHROON HILL RD",
"city": "KERHONKSON",
"state": "NY",
"postal_code": "124461411",
"telephone_number": "845-626-7444",
"fax_number": "845-626-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 RODMANS LN",
"city": "ULSTER PARK",
"state": "NY",
"postal_code": "124875013",
"telephone_number": "845-626-7444",
"fax_number": "845-626-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIERNEY-GABLER",
"first_name": "STACEY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "071456-1",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "2180628",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS OFFICE OF PROFESSIONS",
"identifier": "071456-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ulster Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.