Individual provider Active NPI

Lisa Ann Hotchkiss, LCSW

  • Clinical Social Worker
  • Amenia, NY
National Provider Identifier
1841693199
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084773 Issued in NY
Practice address
3360 Route 343
Amenia, NY 12501-5619
Phone
(845) 838-7038
Fax
(845) 373-6028
NPI assigned
Oct 1, 2014
Last updated
Nov 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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 087842-1 NY
Clinical Social Worker 1041C0700X 084773 NY Primary

Addresses

Primary practice location

3360 Route 343
Amenia, NY 12501-5619

Mailing address

PO Box 5036
White Plains, NY 10602-5036
Phone (845) 838-7038

Other practice location 1

7 Market St
Dover Plains, NY 12522
Phone (845) 877-4100 ext. 206

Other identifiers 1

IdentifierTypeStateIssuer
04598734MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170404001800 NY Practitioner - Clinical Social Worker 9133405285 Reassigns benefits to 2 organizations
I20231030002574 MA Practitioner - Clinical Social Worker 9133405285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians

Practice addresses (Care Compare)

1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800

1200 Brown St
Peekskill, NY 10566-2913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084773NYMDSocial Worker
087842-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Sep 20, 2023 Accepting new patients
Sun River Health Inc Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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, 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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1841693199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5036",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106025036",
            "telephone_number": "845-838-7038",
            "fax_number": "845-373-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 ROUTE 343",
            "city": "AMENIA",
            "state": "NY",
            "postal_code": "125015619",
            "telephone_number": "845-838-7038",
            "fax_number": "845-373-6028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Market St",
            "address_purpose": "LOCATION",
            "city": "Dover Plains",
            "state": "NY",
            "postal_code": "12522",
            "country_code": "US",
            "telephone_number": "845-877-4100 x206",
            "fax_number": "845-877-4112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOTCHKISS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087842-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04598734",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amenia, NY

Sources for this page

Verify at the official NPI Registry.