Individual provider Active NPI

Carolyn B Cirnitski, LCSW

  • Clinical Social Worker
  • New Paltz, NY
National Provider Identifier
1972828945
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R015502 Issued in NY
Practice address
199 Main St
Ste 2
New Paltz, NY 12561-1244
Phone
(845) 417-1316
NPI assigned
Apr 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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 R015502 NY Primary

Addresses

Primary practice location

199 Main St
Ste 2
New Paltz, NY 12561-1244

Mailing address

92 Riverview
Port Ewen, NY 12466-5108

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
I20180914000897 NY Practitioner - Clinical Social Worker 4880944776 Practice locations: New Paltz, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

199 Main St
Suite 2
New Paltz, NY 12561-1244
Phone (845) 417-1316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R015502NYMDClinical Social Worker
015502NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aileen Walsh LCSW PC PastSince Mar 17, 2018 Accepting new patients

Organizations & group practices 1

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1972828945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 RIVERVIEW",
            "city": "PORT EWEN",
            "state": "NY",
            "postal_code": "124665108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MAIN ST",
            "address_2": "STE 2",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611244",
            "telephone_number": "845-417-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRNITSKI",
        "first_name": "CAROLYN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R015502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

Verify at the official NPI Registry.