MILDRED AUDREY RILEY-CHANNER (NPI# 1902380736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902380736 |
| Entity Type | Individual |
| Full Name | MILDRED AUDREY RILEY-CHANNER |
| Credential | LMSW |
| Practice Address |
147 Lake St Newburgh NY 12550-5263 |
| Mailing Address |
2570 Route 9w Ste 10 Cornwall NY 12518-1370 |
| Practice Telephone | 8455638000 |
| Practice Fax Number | 8455342940 |
| Mailing Telephone | 8452203100 |
| Mailing Fax Number | 8455342940 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 102035-1 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 33 Monument Streetg, Newburgh, NY 12550 | 8455637000 |
| Street Address |
147 LAKE ST |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-5263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301681 | Gbolagade O Babalola | Obstetrics & Gynecology | 147 Lake St, Newburgh, NY 12550-5263 | 2005-07-22 |
| 1780292037 | Mariana Dalecio Maeda | Optometrist | 147 Lake St, Newburgh, NY 12550-5263 | 2020-07-22 |
| 1669019675 | Kayley Mae Spinella | Physician Assistant | 147 Lake St, Newburgh, NY 12550-5263 | 2019-12-09 |
| 1932744273 | Laura Cutolo | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2019-11-11 |
| 1578106019 | Julie Moreno-warburton | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2019-10-28 |
| 1891263919 | Lilia Watson | Nurse Practitioner | 147 Lake St, Newburgh, NY 12550-5263 | 2018-11-06 |
| 1548736408 | Yolanda Sanabria-rosado | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2018-10-18 |
| 1427546431 | Ghazaleh Sayah | Dentist | 147 Lake St, Newburgh, NY 12550-5263 | 2018-04-25 |
| 1750802740 | Pedro Zuniga Domian | Pediatrics | 147 Lake St, Newburgh, NY 12550-5263 | 2017-06-29 |
| 1851821342 | Andrea Lopera | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2017-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356884324 | Jennifer Ramirez | Social Worker | 321 S William St, Newburgh, NY 12550-5318 | 2016-11-23 |
| 1225485089 | Denise Mccreary | Social Worker | 320 Posey St, Newburgh, IN 47630-1269 | 2016-05-20 |
| 1528489630 | Bonnie J. Bennett | Social Worker | 5031 Route 9w, Newburgh, NY 12550 | 2013-12-17 |
| 1356611792 | Denise Marie Guerriero | Social Worker | 14 Cold Spring Ln, Newburgh, NY 12550-8785 | 2012-01-03 |
| 1326339029 | Jessica Ann Ryan | Social Worker | 11 Carroll St, Newburgh, NY 12550-5136 | 2011-04-28 |
| 1104007251 | Richlyn Patricia Fletcher | Social Worker | 172 South St, Newburgh, NY 12550-4546 | 2007-11-16 |
| 1407900467 | Sharon E Bywater | Social Worker | 2 Colt Place, Newburgh, NY 12550-3820 | 2007-01-23 |
| 1639785140 | Melanie D Ticehurst | Social Worker | 87 Little Britain Rd, Newburgh, NY 12550-5113 | 2020-09-20 |
| 1649885229 | Isaac Reuben Rodriguez | Social Worker | 21 Grand St, Newburgh, NY 12550-5628 | 2020-09-10 |
| 1134753866 | Carolyn Marie Gatti | Social Worker | 3 Commercial Pl, Newburgh, NY 12550-5306 | 2020-03-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.