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CHARLES R THOMPSON-SHEALY LCSW
NPI 1740613322
Social Worker - Clinical in Kingston, NY

Active since August 19, 2013PECOS Enrolled
260 KINGS MALL CT # 251, KINGSTON, NY 12401(646) 362-5194(646) 980-4704 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2023, Jun 11, 2019, Mar 22, 2019 (3 updates tracked since 2019).

About Charles R Thompson-shealy Lcsw NPPES

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

CHARLES R THOMPSON-SHEALY LCSW (NPI 1740613322) is an individual clinical provider in Kingston, New York, licensed in New York (087851) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740613322
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHARLES R THOMPSON-SHEALYCredential: LCSW
Location Address260 KINGS MALL CT # 251Kingston, NY 12401-1574
Mailing Address260 Kings Mall Ct # 251Kingston, NY 12401-1574 · (646) 362-5194 · Fax (646) 980-4704
Phone(646) 362-5194
Fax(646) 980-4704
Sole ProprietorYes
Enumeration DateAugust 19, 2013
Last NPPES UpdateMarch 2, 20233 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1740613322 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 · 087851
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0
260 KINGS MALL CT # 251, Kingston, NY 12401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles R Thompson-shealy Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12401 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 $61.88 – $187.05
Typical copayment $0.00 (range $15.47 – $46.76)
Most-billed visit code NA
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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 Charles Thompson-shealy's NPI number?

The NPI number for Charles Thompson-shealy is 1740613322. It was assigned to this individual provider in the NPPES registry on August 19, 2013.

Where is Charles Thompson-shealy located?

Charles Thompson-shealy practices at 260 Kings Mall Ct # 251, Kingston, NY 12401. The listed phone number is (646) 362-5194.

What is Charles Thompson-shealy's specialty?

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

Is Charles Thompson-shealy enrolled in Medicare?

Yes. Charles Thompson-shealy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Thompson-shealy was last updated on March 2, 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.