Active NPI
Carolyn Pearl Macavoy, LCSW
- Clinical Social Worker
- Rensselaer, NY
National Provider Identifier
1972902963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 091489-01
- Practice address
- 1641 3Rd St FL 2
Rensselaer, NY 12144-1539 - Phone
- (518) 463-8869
- Fax
- (518) 270-2707
- NPI assigned
- Aug 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 091489-01 | NY | Primary |
Addresses
Primary practice location
1641 3Rd St FL 2
Rensselaer, NY 12144-1539
Mailing address
1600 7TH Ave Ste 3
Troy, NY 12180-3410
Phone (518) 270-2646
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210914002908 | NY | Practitioner - Clinical Social Worker | 9830595933 | Practice locations: Troy, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1915 5TH Ave
Suite 108
Troy, NY 12180-3487
Phone (518) 391-5394
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091489-01 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1972902963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 7TH AVE STE 3",
"city": "TROY",
"state": "NY",
"postal_code": "121803410",
"telephone_number": "518-270-2646",
"fax_number": "517-270-2707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 3RD ST FL 2",
"city": "RENSSELAER",
"state": "NY",
"postal_code": "121441539",
"telephone_number": "518-463-8869",
"fax_number": "518-270-2707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACAVOY",
"first_name": "CAROLYN",
"middle_name": "PEARL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-15",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "091489-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rensselaer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.