Individual provider Active NPI

Sondra L Scott, LCSW-R

  • Clinical Social Worker
  • Pleasant Valley, NY
National Provider Identifier
1942284567
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R058225-1 Issued in NY
Practice address
69 North Ave
Pleasant Valley, NY 12569-6063
Phone
(845) 505-9975
Fax
(888) 972-5017
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 R058225-1 NY Primary

Addresses

Primary practice location

69 North Ave
Pleasant Valley, NY 12569-6063

Mailing address

PO Box 43
Wappingers Falls, NY 12590-0043
Phone (845) 849-1958

Other practice location 1

7 Pine Woods Rd
Hyde Park, NY 12538-1650
Phone (845) 505-9975

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
I20040525001590 NY Practitioner - Clinical Social Worker 5496736597 Practice locations: Pleasant Valley, NY; Hyde Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

69 N Ave
Pleasant Valley, NY 12569-6063
Phone (845) 505-9975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R058225-1NYMDClinical Social Worker
058225NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc, Inc. Dutchess County Chapter Past Accepting new patients
Phoenix Group Clinical PastSince Jan 24, 2021 Accepting new patients
Michael Lapidus, MD PC PastSince Mar 16, 2020 Accepting new patients
Donna Johanson LCSW LLC Clinical PastSince Mar 16, 2020 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1942284567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125900043",
            "telephone_number": "845-849-1958",
            "fax_number": "888-972-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 NORTH AVE",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125696063",
            "telephone_number": "845-505-9975",
            "fax_number": "888-972-5017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Pine Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "NY",
            "postal_code": "125381650",
            "country_code": "US",
            "telephone_number": "845-505-9975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SONDRA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R058225-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Valley, NY

Sources for this page

Verify at the official NPI Registry.