Individual provider Active NPI

Stacey Lynn Tierney-Gabler, LMSW

  • Social Worker
  • Ulster Park, NY
National Provider Identifier
1841463775
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
071456-1 Issued in NY
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
071456-1OtherNYNYS 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

LicenseStateTypeSpecialty
071456-1NYMDSocial Worker
2180628NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.