Individual provider Active NPI

Craig Michael Hill, LMSW

  • Clinical Social Worker
  • Watkins Glen, NY
National Provider Identifier
1851002133
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
106 S Perry St Ste 4
Watkins Glen, NY 14891-1636
Phone
(607) 535-8282
Fax
(607) 535-8284
NPI assigned
Dec 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NY Primary

Addresses

Primary practice location

106 S Perry St Ste 4
Watkins Glen, NY 14891-1636

Mailing address

106 S Perry St Ste 4
Watkins Glen, NY 14891-1636
Phone (607) 535-8282

Other identifiers 1

IdentifierTypeStateIssuer
15-6000466MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chill@co.schuyler.ny.us

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

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler County Mental Health Clinical CurrentSince Dec 13, 2022 Accepting new patients
Schuyler County PastSince Dec 13, 2022 Accepting new patients

Locations

106 S Perry St
Ste 4
Watkins Glen, NY 14891
Phone (607) 535-8282

106 S Perry St
Watkins Glen, NY 14891
Phone (607) 535-8140

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.

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1851002133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S PERRY ST STE 4",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911636",
            "telephone_number": "607-535-8282",
            "fax_number": "607-535-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S PERRY ST STE 4",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911636",
            "telephone_number": "607-535-8282",
            "fax_number": "607-535-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "CRAIG",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15-6000466",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chill@co.schuyler.ny.us",
            "affiliation": "N",
            "address_1": "106 S Perry St Ste 4",
            "city": "Watkins Glen",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148911636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watkins Glen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.