KAREN HUGHES LCSW
NPI 1578547659
Social Worker - Clinical in Hyde Park, NY
NPI Status: Active since December 02, 2005
Contact Information
11 CRUM ELBOW RD
HYDE PARK, NY
ZIP 12538
Phone: (845) 229-1020
Fax: (845) 229-2005
- Individual
- Female
- Social Worker
- Clinical
- PECOS Enrolled
About KAREN HUGHES
This page provides the complete NPI Profile along with additional information for Karen Hughes, a provider established in Hyde Park, New York with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1578547659 assigned on December 2005. The practitioner's primary taxonomy code is 1041C0700X with license number 077415 (NY). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1578547659
- Provider Name
- KAREN HUGHES LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11 CRUM ELBOW RD HYDE PARK, NY 12538
- Location Phone
- (845) 229-1020
- Location Fax
- (845) 229-2005
- Mailing Address
- PO BOX 159 NEW PALTZ, NY 12561
- Mailing Phone
- (845) 255-3487
- Mailing Fax
- (845) 229-2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-02-2005
- Last Update Date
- 06-04-2010
- Code Navigator
A clinical social worker like Karen Hughes is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 077415
- License State
- NY
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Karen Hughes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Psychotherapy, 1 hour
Psychotherapy, 30 minutes
Psychotherapy, 45 minutes
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.
This service was performed 322 times for 14 patientsPsychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
This service was performed 138 times for 17 patientsPsychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
This service was performed 203 times for 15 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 12538 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $61.88
- Maximum New Patient Price $187.05
- Average New Patient Copayment $0
- Minimum New Patient Copayment $15.47
- Maximum New Patient Copayment $46.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $76.88
- Minimum Established Patient Price $19.92
- Maximum Established Patient Price $151.94
- Average Established Patient Copayment $19.22
- Minimum Established Patient Copayment $4.98
- Maximum Established Patient Copayment $37.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for KAREN HUGHES LCSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 7 | 8 | 5 | 4 | 7 | 6 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 10 | 4 | 14 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 0 + 4 + 1 + 4 + 6 + 1 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1578547659 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639129158 | JOHN SABIA MD Individual | Family Medicine | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-1020 |
| 1922059344 | MELISSA SCHISKIE DO Individual | Family Medicine | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-1020 |
| 1073759650 | DR. DAVID PATRICK SUCATO I DPT Individual | Physical Therapist | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-2899 |
| 1730410366 | JILL LAUREN BELILES RD Individual | Dietitian, Registered | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-1020 |
| 1396001624 | JINCY JACOB CHERIAN D.O. Individual | Family Medicine | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-1020 |
| 1093168106 | ZACHARY BODENWEBER Individual | Social Worker | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-2005 |
| 1952792988 | VANESSA JOYCE MSN, APRN, FNP-BC Individual | Nurse Practitioner (Family) | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-1020 |
| 1962907295 | JILL M GARNER RN, CDE Individual | Registered Nurse (Diabetes Educator) | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-1020 |
| 1427608553 | SADLER C BAKST LMSW Individual | Social Worker | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-1020 |
| 1497926141 | TRU-DENTAL, P.C. Organization | Dentist (General Practice) | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-6288 |
| 1255714127 | STEPHANIE GRAZIANO RD, CDN, CDE Individual | Dietitian, Registered | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-1020 |
| 1033692660 | MS. NAOMI M BIVIANO FNP Individual | Nurse Practitioner (Family) | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-1020 |
| 1033605233 | JESSICA VELEZ NURSE PRACTITIONER Individual | Nurse Practitioner (Adult Health) | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-1020 |
| 1407129562 | THE INSTITUTE FOR FAMILY HEALTH Organization | Family Medicine | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-1020 |
| 1619219649 | SHAUNA COKE NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 11 CRUM ELBOW RD HYDE PARK, NY 12538 (845) 229-1020 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578547659, enumerated in the NPI registry as an "individual" on December 02, 2005
The provider is located at 11 Crum Elbow Rd Hyde Park, Ny 12538 and the phone number is (845) 229-1020
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $76.88 and an average copayment of 19.22. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Psychotherapy, 1 hour, Psychotherapy, 30 minutes and Psychotherapy, 45 minutes.
This NPI record was last updated on December 02, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.