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MR. JAMES MARLOW HISLOP LCSW
NPI 1194835272
Social Worker - Clinical in Clifton Park, NY

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
939 ROUTE 146, STE 210, CLIFTON PARK, NY 12065(518) 577-8367(518) 280-1893 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. James Marlow Hislop Lcsw NPPES

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

MR. JAMES MARLOW HISLOP LCSW (NPI 1194835272) is an individual clinical provider in Clifton Park, New York, licensed in New York (PR019400-1) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1194835272
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JAMES MARLOW HISLOPCredential: LCSW
Location Address939 ROUTE 146, STE 210Clifton Park, NY 12065
Mailing Address939 Route 146, Ste 210Clifton Park, NY 12065 · (518) 577-8367 · Fax (518) 280-1893
Phone(518) 577-8367
Fax(518) 280-1893
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 20, 2023
NPPES CertifiedJanuary 20, 2023
✔ NPI 1194835272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · PR019400-1
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.
Also ListedSocial WorkerTaxonomy 104100000X · License PR0194001 (NY)
939 ROUTE 146, Clifton Park, NY 12065
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Other Identifiers 1

Medicaid02846591NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. James Marlow Hislop 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 ID941472328
PECOS Enrollment IDI20111006000532
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.

Medicare Billing Reassignment

Medicare enrollment records show James Hislop reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Provider Profile
13 mi
Psychologist
6 EXECUTIVE PARK DR
Albany, NY 12203
  • Reassigned Medicare billing, New York enrollment
NPI 1841300928 (518) 482-6160

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
419 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12065 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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAYLA MASSOUDI PHARM.D
Pharmacist
939 ROUTE 146
CLIFTON PARK, NY 12065
Saratoga County (518) 383-4517
SCHENECTADY REGIONAL ORTHOPEDIC ASSOCIATES, PC
Orthopaedic Surgery
939 ROUTE 146
CLIFTON PARK, NY 12065
Saratoga County (518) 382-7200
NEUROLOGY CLIFTON PARK
Psychiatry & Neurology (Neurology)
939 ROUTE 146, SUITE 810
CLIFTON PARK, NY 12065
Saratoga County (518) 381-1800
MAROTTA HEALTH AND WELLNESS CHIROPRACTIC PLLC
Chiropractor
939 ROUTE 146, #230
CLIFTON PARK, NY 12065
Saratoga County (518) 357-3347
DR. ANTONIO V.R. MAROTTA D.C.
Chiropractor
939 ROUTE 146, SUITE 230
CLIFTON PARK, NY 12065
Saratoga County (518) 357-3347
MR. ERICK SCOTT KNIZEK ATC
Specialist/Technologist (Athletic Trainer)
939 ROUTE 146, BUILDING 500
CLIFTON PARK, NY 12065
Saratoga County (518) 373-1461
COMMUNITY CARE PHYSICIANS, PC
Internal Medicine
939 ROUTE 146, SUITE 810
CLIFTON PARK, NY 12065
Saratoga County (518) 374-1444
MR. ERIC JOSEPH BOGDANOWICZ PHARMACIST
Pharmacist
939 ROUTE 146, BUILDING 600
CLIFTON PARK, NY 12065
Saratoga County (518) 383-4517

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 James Hislop's NPI number?

The NPI number for James Hislop is 1194835272. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is James Hislop located?

James Hislop practices at 939 Route 146 Ste 210, Clifton Park, NY 12065. The listed phone number is (518) 577-8367.

What is James Hislop's specialty?

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

Is James Hislop enrolled in Medicare?

Yes. James Hislop 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.

Which organization bills Medicare for James Hislop's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Hislop reassigns Medicare benefits to (Albany, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Hislop's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Hislop accept?

Health plans from Oscar Health list James Hislop as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Hislop was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.