Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Eastern Door Licensed Clinical Social Work, PC

Clinical Social Worker in Rensselaer, NY · enumerated 2016 · authorized official Kellyanne Rugenstein, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528500337

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Registry record

Entity type Organization (Type 2)

Legal business name Eastern Door Licensed Clinical Social Work, PC

Practice address 620 Washington Ave, Rensselaer, NY, 12144

Phone (518) 252-7073

Fax (518) 252-7073

Enumeration date Nov 10, 2016

Last updated in NPPES Mar 26, 2025

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

251S00000X Community/Behavioral Health Agency Agencies Secondary

Authorized official

Name Kellyanne Rugenstein

Title Owner

Phone (518) 252-7073

Other identifiers

Identifier	Type	State	Issuer
03068682	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Eastern Door Licensed Clinical Social Work, PC?

Eastern Door Licensed Clinical Social Work, PC is registered in NPPES as a Clinical Social Worker (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-26.