Individual provider Active NPI

Patricia F Consolo, LCSW-R

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1952363475
Registry record updated Sep 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069211 Issued in NY
Practice address
435 New Karner Rd
Hanover Square Franklin Street Entrance
Albany, NY 12205-3833
Phone
(518) 456-2060
Fax
(518) 456-2361
NPI assigned
Apr 3, 2006
Last updated
Sep 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2010

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 069211 NY Primary

Addresses

Primary practice location

435 New Karner Rd
Hanover Square Franklin Street Entrance
Albany, NY 12205-3833

Mailing address

119 Manning Blvd
Albany, NY 12203-1739
Phone (518) 423-4409

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
I20050621001048 NY Practitioner - Clinical Social Worker 8527003599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Psychological Associates PLLCGroup PAC ID 4688908791, 7 clinicians

Practice addresses (Care Compare)

435 New Karner Rd
Albany, NY 12205-5839
Phone 5184562060305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
069211NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Psychological Associates PLLC Clinical CurrentSince Jul 1, 2019 Accepting new patients
Family & Children's Service of the Capital Region Inc. Past Accepting new patients
Northeast Psychological Associates Clinical PastSince Jul 1, 2019 Accepting new patients

Locations

435 New Karner Rd
Albany, NY 12205
Phone (518) 456-1622

Organizations & group practices 3

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284768000000",
    "number": "1952363475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031739",
            "telephone_number": "518-423-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 NEW KARNER RD",
            "address_2": "HANOVER SQUARE FRANKLIN STREET ENTRANCE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053833",
            "telephone_number": "518-456-2060",
            "fax_number": "518-456-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSOLO",
        "first_name": "PATRICIA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.