Eastern Door Licensed Clinical Social Work, PC
NPI 1528500337 · Clinical Social Worker · Rensselaer, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eastern Door Licensed Clinical Social Work, PC is a Clinical Social Worker organization in Rensselaer, NY (NPI 1528500337).
Provider details
- NPI number
- 1528500337
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kellyanne Rugenstein, Owner(518) 252-7073
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-11-10
- Last updated
- 2025-03-26
- Certified
- 2025-03-26
Frequently asked questions
- What is Eastern Door Licensed Clinical Social Work, PC's NPI number?
- Eastern Door Licensed Clinical Social Work, PC's National Provider Identifier (NPI) is 1528500337, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastern Door Licensed Clinical Social Work, PC?
- Eastern Door Licensed Clinical Social Work, PC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Eastern Door Licensed Clinical Social Work, PC located?
- Eastern Door Licensed Clinical Social Work, PC's practice location on file with NPPES is 620 Washington Ave, Rensselaer, NY 12144-1300.
- What is Eastern Door Licensed Clinical Social Work, PC's phone number?
- The practice phone number listed in the NPPES registry for Eastern Door Licensed Clinical Social Work, PC is (518) 252-7073.
- Does Eastern Door Licensed Clinical Social Work, PC accept Medicare?
- Eastern Door Licensed Clinical Social Work, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eastern Door Licensed Clinical Social Work, PC?
- The authorized official listed on Eastern Door Licensed Clinical Social Work, PC's NPPES record is Kellyanne Rugenstein, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastern Door Licensed Clinical Social Work, PC's NPI active?
- Yes — Eastern Door Licensed Clinical Social Work, PC's NPI (1528500337) is active in the NPPES registry as of the last update on 2025-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.