Individual provider Active NPI

Christine Dremmel, LCSW-R

  • Clinical Social Worker
  • Kingston, NY
National Provider Identifier
1891085999
Registry record updated Nov 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-058244-01 Issued in NY
Practice address
184 Ledge Rd
Kingston, NY 12401-1629
Phone
(845) 338-4683
Fax
(845) 335-4600
NPI assigned
Apr 11, 2011
Last updated
Nov 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2017

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-058244-01 NY Primary

Addresses

Primary practice location

184 Ledge Rd
Kingston, NY 12401-1629

Mailing address

184 Ledge Rd
Kingston, NY 12401-1629
Phone (914) 805-2551

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
I20110610000245 NY Practitioner - Clinical Social Worker 6002093523 Practice locations: Kingston, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

184 Ledge Rd
Kingston, NY 12401-1629
Phone (914) 805-2551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-058244-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grunblatt Psychology and Counseling Offices, P.C. CurrentSince May 8, 2011 Accepting new patients
Andrea Grunblatt Psychology, PLLC PastSince May 8, 2011 Accepting new patients

Locations

124 Green St
Kingston, NY 12401
Phone (845) 331-3001

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511049600000",
    "number": "1891085999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 LEDGE RD",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011629",
            "telephone_number": "914-805-2551",
            "fax_number": "914-303-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 LEDGE RD",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011629",
            "telephone_number": "845-338-4683",
            "fax_number": "845-335-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREMMEL",
        "first_name": "CHRISTINE",
        "name_prefix": "Miss",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2017-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-058244-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.