Active NPI
Rene Stockton, MSW
- Clinical Social Worker
- Forest Hills, NY
National Provider Identifier
1992958193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 6435 Yellowstone Blvd Apt 5E
C/O Kenneth Bourne
Forest Hills, NY 11375-1720 - Phone
- (646) 652-7133
- NPI assigned
- Oct 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Poetry Therapist | 102X00000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6435 Yellowstone Blvd Apt 5E
C/O Kenneth Bourne
Forest Hills, NY 11375-1720
Mailing address
6435 Yellowstone Blvd Apt 5E
C/O Kenneth Bourne
Forest Hills, NY 11375-1720
Phone (646) 652-7133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
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": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1992958193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6435 YELLOWSTONE BLVD APT 5E",
"address_2": "C/O KENNETH BOURNE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751720",
"telephone_number": "646-652-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6435 YELLOWSTONE BLVD APT 5E",
"address_2": "C/O KENNETH BOURNE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751720",
"telephone_number": "646-652-7133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKTON",
"first_name": "RENE",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-31",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "102X00000X",
"taxonomy_group": "",
"desc": "Poetry Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.