Active NPI
Carol Mary Prevost
- Social Worker
- Port Henry, NY
National Provider Identifier
1932054160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 046386-01
- Practice address
- 10 St Patrick PL
Port Henry, NY 12974-1200 - Phone
- (518) 546-7151
- Fax
- (518) 546-3382
- NPI assigned
- Mar 3, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 046386-01 | NY | Primary |
Addresses
Primary practice location
10 St Patrick PL
Port Henry, NY 12974-1200
Mailing address
PO Box 1333
Lake Placid, NY 12946-5333
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 |
|---|---|---|---|
| 046386-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1932054160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1333",
"city": "LAKE PLACID",
"state": "NY",
"postal_code": "129465333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ST PATRICK PL",
"city": "PORT HENRY",
"state": "NY",
"postal_code": "129741200",
"telephone_number": "518-546-7151",
"fax_number": "518-546-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVOST",
"first_name": "CAROL",
"middle_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "046386-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Henry, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.