Individual provider Active NPI

Janis M Voltmer, LCSW R

  • Clinical Social Worker
  • North Salem, NY
National Provider Identifier
1861687030
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R 041494-1 Issued in NY
Practice address
56 June Rd
North Salem, NY 10560-1702
Phone
(845) 750-9768
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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 R 041494-1 NY Primary

Addresses

Primary practice location

56 June Rd
North Salem, NY 10560-1702

Mailing address

319 Grape Hollow Rd
Holmes, NY 12531
Phone (845) 750-9768

Other identifiers 1

IdentifierTypeStateIssuer
10206403MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090401000327 NY Practitioner - Clinical Social Worker 7012074396 Practice locations: Brewster, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 Essex CT
Brewster, NY 10509-6531
Phone (845) 453-2038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R 041494-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam Family and Community Services Inc Past Accepting new patients
Putnam Family and Community Services Inc Past Accepting new patients

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1861687030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 GRAPE HOLLOW RD",
            "city": "HOLMES",
            "state": "NY",
            "postal_code": "12531",
            "telephone_number": "845-750-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 JUNE RD",
            "city": "NORTH SALEM",
            "state": "NY",
            "postal_code": "105601702",
            "telephone_number": "845-750-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLTMER",
        "first_name": "JANIS",
        "middle_name": "M",
        "credential": "LCSW R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R 041494-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10206403",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Salem, NY

Sources for this page

Verify at the official NPI Registry.