Individual provider Active NPI

Daniel C Meyeroff, LCSW

  • Clinical Social Worker
  • Middletown, NY
National Provider Identifier
1881028454
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072980 Issued in NY
Practice address
121 Top Notch Rd
Middletown, NY 10940-6442
Phone
(845) 820-7733
NPI assigned
Aug 30, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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 072980 NY Primary

Addresses

Primary practice location

121 Top Notch Rd
Middletown, NY 10940-6442

Mailing address

121 Top Notch Rd
Middletown, NY 10940-6442
Phone (845) 820-7733

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
I20140821000015 NY Practitioner - Clinical Social Worker 1254559933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stress Reduction and Psychological Services, PCGroup PAC ID 0749179265, 5 clinicians

Practice addresses (Care Compare)

3 Coates Dr
Suite 8
Goshen, NY 10924-6765
Phone (845) 291-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Reduction and Psychological Services, PC CurrentSince May 1, 2019 Accepting new patients

Locations

3 Coates Dr
Ste 8
Goshen, NY 10924
Phone (845) 291-0999

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1881028454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 TOP NOTCH RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406442",
            "telephone_number": "845-820-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 TOP NOTCH RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406442",
            "telephone_number": "845-820-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYEROFF",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.