Aimee Q. Gallin, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071191-1 Issued in NY

Practice address

228 Hardenburg Rd
Ulster Park, NY 12487-5310

Phone

(845) 392-0787

NPI assigned

Mar 14, 2009

Last updated

Mar 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maverick Family Counseling LCSW PLLC

  dba Maverick Family Counseling

  • Clinical Social Worker
  • Woodstock, NY
  • NPI 1104160738
  Medicare reassignment NPD
• Maverick Family Counseling

  • Social Worker
  • Woodstock, NY
  • NPI 1417163767
  NPD (past)

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

{
    "created_epoch": "1236988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236988800000",
    "number": "1932340353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 HARDENBURG RD",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875310",
            "telephone_number": "845-392-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 HARDENBURG RD",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875310",
            "telephone_number": "845-392-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIN",
        "first_name": "AIMEE",
        "middle_name": "Q.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-14",
        "last_updated": "2009-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071191-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Early Intervention LCSW Services PC
• Rachel K. Evans, L.C.S.W.
• Christopher John Farrell, LCSW
• Emily K Feit, OTR/L
• Laurie S Flick, MSED, MAED
• Raquel Gonzalez
• Deborah Lynne Haradon
• Georgia Anne Hastings, PT ASST
• Dona M Havir, RN
• Sydney Catherine Jankowski, LMSW

• Clinical Social Worker in Ulster Park, NY
• Providers in Ulster Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.