Individual provider Active NPI

Jacqueline Chenot Larabee, LCSW

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1891968731
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076233 Issued in NY
Practice address
301 S Allen St
Albany, NY 12208-2070
Phone
(518) 225-2315
Fax
(518) 446-9191
NPI assigned
Apr 11, 2008
Last updated
Nov 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 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 076233 NY Primary

Addresses

Primary practice location

301 S Allen St
Albany, NY 12208-2070

Mailing address

301 S Allen St
2ND Floor
Albany, NY 12208-2070
Phone (518) 225-2315

Other identifiers 1

IdentifierTypeStateIssuer
076233OtherNYNYS OFFICE OF THE PROFESSIONS

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
076233NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Care Physicians, P.L.L.C. PastSince Feb 19, 2016 Accepting new patients

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, 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": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383350400000",
    "number": "1891968731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S ALLEN ST",
            "address_2": "2ND FLOOR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082070",
            "telephone_number": "518-225-2315",
            "fax_number": "518-446-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S ALLEN ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082070",
            "telephone_number": "518-225-2315",
            "fax_number": "518-446-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARABEE",
        "first_name": "JACQUELINE",
        "middle_name": "CHENOT",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2013-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS OFFICE OF THE PROFESSIONS",
            "identifier": "076233",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.