Individual provider Active NPI

Deborah R Armstrong, LCSW

  • Clinical Social Worker
  • Ballston Lake, NY
National Provider Identifier
1932141876
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R023977-1 Issued in NY
Practice address
315 Ushers Rd
Northway 10 Executive Park
Ballston Lake, NY 12019-1547
Phone
(518) 371-1192
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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 R023977-1 NY Primary

Addresses

Primary practice location

315 Ushers Rd
Northway 10 Executive Park
Ballston Lake, NY 12019-1547

Mailing address

315 Ushers Rd
Northway 10 Executive Park
Ballston Lake, NY 12019-1547
Phone (518) 877-5911

Other identifiers 9

IdentifierTypeStateIssuer
110877765OtherNYUNITED BEHAVIORAL HEALTH
7332639OtherNYNYS EMPIRE PLAN
61635OtherNYMVP
N1P651OtherNYMAGELLAN
000494717004OtherNYBLUE CROSS
137077OtherNYCDPHP
7481983OtherNYGHI
000494717004OtherNYBLUE SHIEL OF NORTHEASTER
7186064OtherNYAETNA

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
R023977-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1932141876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 USHERS RD",
            "address_2": "NORTHWAY 10 EXECUTIVE PARK",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191547",
            "telephone_number": "518-877-5911",
            "fax_number": "518-877-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 USHERS RD",
            "address_2": "NORTHWAY 10 EXECUTIVE PARK",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191547",
            "telephone_number": "518-371-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "DEBORAH",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R023977-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "110877765",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS EMPIRE PLAN",
            "identifier": "7332639",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "61635",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "N1P651",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000494717004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "137077",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7481983",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIEL OF NORTHEASTER",
            "identifier": "000494717004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7186064",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Lake, NY

Sources for this page

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

Verify at the official NPI Registry.