Heather Maria Pudish, LCSW
Individual provider Active NPI Clinical Social Worker · Whitney Point, NY
NPI 1962742585 · NPPES record last updated Jan 13, 2020
Key facts
- NPI
- 1962742585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089190-01 (NY)
- Practice address
- 10 Keibel Road
Whitney Point Central School District
Whitney Point, NY 13862 - Phone
- (607) 692-8202
- Fax
- (607) 692-4434
- NPI assigned
- Feb 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089190-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitney Point Central School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089190-01 | NY | Yes |
Addresses
Primary practice location
10 Keibel Road
Whitney Point Central School District
Whitney Point, NY 13862
Mailing address
10 Keibel Road
Whitney Point Central School District
Whitney Point, NY 13862
Phone (607) 692-8202
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089190-01 | Medicaid | NY |
Other providers in Whitney Point, NY
- Emma S. Irwin
- Samantha McLain
- Meghan Christine Murphy
- Nicholas F Seketa DPM PC
- Deborah R Oliver
- Mary Purce
- Aaron Rice
- Nicholas F Seketa
- Jessica Mueller Smith
- Megan Snedeker
All providers in Whitney Point, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.