MS. RELANI PRUDHOMME LCSW
NPI 1265900526
Social Worker - Clinical in Canton, NY

Active since November 05, 2018PECOS EnrolledAccepts Medicare Assignment
73 BUCK ST APT B, CANTON, NY 13617(315) 212-1815 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 6, 2024, Sep 6, 2023, Oct 25, 2022 and 1 more (4 updates tracked since 2018).

About Ms. Relani Prudhomme Lcsw NPPES

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

MS. RELANI PRUDHOMME LCSW (NPI 1265900526) is an individual clinical provider in Canton, New York, licensed in New York (095815) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Carthage Area Hospital, Inc, and maintains a secondary practice location in Ogdensburg.

NPPES Registry Identity

NPI1265900526
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. RELANI PRUDHOMMECredential: LCSW
Location Address73 BUCK ST APT BCanton, NY 13617-1384
Mailing Address73 Buck St Apt BCanton, NY 13617-1384 · (315) 212-1815
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 5, 2018
Last NPPES UpdateNovember 6, 20244 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
NPI 1265900526 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 · 095815
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 065968 (NY)
73 BUCK ST APT B, Canton, NY 13617

Other Names 1

Former Name (1)Ms. Relani Michelle Prudhomme Lmsw, Msw

Secondary Practice Location 1

Location 1214 King StreetOgdensburg, NY 13669 · Phone (315) 713-5720 · Fax (315) 713-5741

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

Ms. Relani Prudhomme 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 ID6002277704
PECOS Enrollment IDI20230727002245
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carthage Area Hospital, Inc

Critical Access Hospitals · Carthage, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331318
Location1001 West StreetCarthage, NY 13619 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13617 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

The NPI number assigned to this healthcare provider is 1265900526, enumerated as an "individual" on November 05, 2018.

The provider is located at 73 BUCK ST APT B CANTON, NY 13617 and the phone number is (315) 212-1815.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

Relani Prudhomme is affiliated with: CARTHAGE AREA HOSPITAL, INC.