Individual provider Active NPI

John Alan Metzger, LCSW

  • Clinical Social Worker
  • Germantown, NY
National Provider Identifier
1982106977
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086033-1 Issued in NY
Practice address
588 Church Avenue
Germantown, NY 12526
Phone
(518) 532-2221
NPI assigned
Mar 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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 086033-1 NY Primary

Addresses

Primary practice location

588 Church Avenue
Germantown, NY 12526

Mailing address

588 Church Avenue
Germantown, NY 12526
Phone (518) 537-2221

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
I20210112001532 NY Practitioner - Clinical Social Worker 7618380684 Reassigns benefits to 1 organization
Practice locations: Hudson, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearwater Counseling Associates LCSW PLLCGroup PAC ID 4082900188, 11 clinicians

Practice addresses (Care Compare)

10 Beadart PL
Hyde Park, NY 12538-1218
Phone (845) 490-7277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086033-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Counseling Associates LCSW, PLLC CurrentSince Apr 2, 2021 Accepting new patients
Ajs Mental Health Counseling, PLLC PastSince Apr 6, 2024 Accepting new patients
Clearwater Counseling Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1982106977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 CHURCH AVENUE",
            "city": "GERMANTOWN",
            "state": "NY",
            "postal_code": "12526",
            "telephone_number": "518-537-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 CHURCH AVENUE",
            "city": "GERMANTOWN",
            "state": "NY",
            "postal_code": "12526",
            "telephone_number": "518-532-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "JOHN",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086033-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, NY

Sources for this page

Verify at the official NPI Registry.