Active NPI
Stephen George Wartel, MSW
- Clinical Social Worker
- Gansevoort, NY
National Provider Identifier
1912923202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR018771
- Practice address
- 11 Dandelion Dr
Gansevoort, NY 12831-3202 - Phone
- (518) 583-3830
- Fax
- (518) 580-8838
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR018771 | NY | Primary |
Addresses
Primary practice location
11 Dandelion Dr
Gansevoort, NY 12831-3202
Mailing address
11 Dandelion Dr
Gansevoort, NY 12831-3202
Phone (518) 583-3830
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR018771 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252886400000",
"number": "1912923202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 DANDELION DR",
"city": "GANSEVOORT",
"state": "NY",
"postal_code": "128313202",
"telephone_number": "518-583-3830",
"fax_number": "518-580-8838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 DANDELION DR",
"city": "GANSEVOORT",
"state": "NY",
"postal_code": "128313202",
"telephone_number": "518-583-3830",
"fax_number": "518-580-8838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARTEL",
"first_name": "STEPHEN",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2009-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR018771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gansevoort, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.