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MR. EMMETT RHETT EUBANKS LCSW
NPI 1124663745
Social Worker - Clinical in Fort Ann, NY

Active since November 07, 2019PECOS EnrolledAccepts Medicare Assignment
3967 STATE ROUTE 149, FORT ANN, NY 12827(518) 417-2381 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Emmett Rhett Eubanks Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EMMETT RHETT EUBANKS LCSW (NPI 1124663745) is an individual clinical provider in Fort Ann, New York, licensed in New York (096062) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saratoga Springs, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124663745
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. EMMETT RHETT EUBANKSCredential: LCSW
Location Address3967 STATE ROUTE 149Fort Ann, NY 12827-4103
Mailing Address3967 State Route 149Fort Ann, NY 12827-4103 · (518) 417-2381
Phone(518) 417-2381
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 7, 2019
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1124663745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 096062
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3967 STATE ROUTE 149, Fort Ann, NY 12827
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Other Names 1

Other Name (5)Rachael Elizabeth Eubanks Lmsw

Secondary Practice Location 1

Location 175 Railroad PlSaratoga Springs, NY 12866-2124 · Phone (518) 545-4691 · Fax (518) 704-4727

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Emmett Rhett Eubanks Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294238663
PECOS Enrollment IDI20250911003009
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12827 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmett Eubanks's NPI number?

The NPI number for Emmett Eubanks is 1124663745. It was assigned to this individual provider in the NPPES registry on November 7, 2019. The provider is also known as Rachael Elizabeth Eubanks Lmsw.

Where is Emmett Eubanks located?

Emmett Eubanks practices at 3967 State Route 149, Fort Ann, NY 12827. The listed phone number is (518) 417-2381.

What is Emmett Eubanks's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Emmett Eubanks enrolled in Medicare?

Yes. Emmett Eubanks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Emmett Eubanks was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.