Individual provider Active NPI

Patricia G Malone, LCSW

  • Clinical Social Worker
  • Stone Ridge, NY
National Provider Identifier
1932492899
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077304 Issued in NY
Practice address
4139 Atwood Rd
Stone Ridge, NY 12484-5249
Phone
(845) 687-8707
NPI assigned
May 25, 2011
Last updated
May 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2011

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 077304 NY Primary

Addresses

Primary practice location

4139 Atwood Rd
Stone Ridge, NY 12484-5249

Mailing address

4139 Atwood Rd
Stone Ridge, NY 12484-5249
Phone (845) 687-8707

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110912000465 NY Practitioner - Clinical Social Worker 4183895717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nysarc Inc Sullivan County ChapterGroup PAC ID 2668473729, 21 clinicians

Practice addresses (Care Compare)

162 E Broadway
Monticello, NY 12701-8815
Phone (845) 796-1350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maverick Family Counseling LCSW PLLC Clinical CurrentSince Jan 1, 2014 Accepting new patients
Nysarc Inc Sullivan County Chapter CurrentSince Jan 1, 2021 Accepting new patients

Locations

162 E Broadway
Monticello, NY 12701
Phone (845) 796-1350

1435 Route 44
Pleasant Vly, NY 12569
Phone (845) 635-8084

8 Industry St
Poughkeepsie, NY 12603
Phone (845) 471-8876

404 Zena Rd
Woodstock, NY 12498
Phone (845) 679-5271

Organizations & group practices 2

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1932492899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 ATWOOD RD",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845249",
            "telephone_number": "845-687-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 ATWOOD RD",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845249",
            "telephone_number": "845-687-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "PATRICIA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Ridge, NY

Sources for this page

Verify at the official NPI Registry.