Individual provider Active NPI

Lynne Berrett, LCSW-R

  • Clinical Social Worker
  • Mount Kisco, NY
National Provider Identifier
1881791614
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R027625-1 Issued in NY
Practice address
55 East Way
Mount Kisco, NY 10549-3504
Phone
(914) 666-0912
Fax
(914) 666-2113
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R027625-1 NY Primary

Addresses

Primary practice location

55 East Way
Mount Kisco, NY 10549-3504

Mailing address

55 East Way
Mount Kisco, NY 10549-3504
Phone (914) 666-0912

Other identifiers 5

IdentifierTypeStateIssuer
P2753880OtherNYOXFORD HEALTH PLANS
0005071OtherNYGHI/EMPIRE PLANS
711560OtherNYMVP HEALTH PLANS
16412OtherNYUBH HEALTH PLAN
138419OtherNYVALUE OPTIONS HEALTH PLAN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R027625-1NYMDClinical Social Worker
276251NYMDHospitalist Physician

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881791614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 EAST WAY",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493504",
            "telephone_number": "914-666-0912",
            "fax_number": "914-666-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 EAST WAY",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493504",
            "telephone_number": "914-666-0912",
            "fax_number": "914-666-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRETT",
        "first_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027625-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P2753880",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI/EMPIRE PLANS",
            "identifier": "0005071",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLANS",
            "identifier": "711560",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH HEALTH PLAN",
            "identifier": "16412",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS HEALTH PLAN",
            "identifier": "138419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.