Active NPI
Mary Clare, LCSW
- Clinical Social Worker
- Rochester, NY
National Provider Identifier
1043286248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R045025-1
- Practice address
- 277 Alexander St
Suite 300
Rochester, NY 14607-1920 - Phone
- (585) 262-2820
- Fax
- (585) 271-2198
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R045025-1 | NY | Primary |
Addresses
Primary practice location
277 Alexander St
Suite 300
Rochester, NY 14607-1920
Mailing address
277 Alexander St
Suite 300
Rochester, NY 14607-1920
Phone (585) 262-2820
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270175 | Other | VALUE OPTIONS PIN | |
| 553863000 | Other | MAGELLAN | |
| P010045025 | Other | EXCELLUS PIN | |
| 322592 | Other | MHN PIN | |
| 7272513 | Other | AETNA PIN | |
| 201838 | Other | COMPSYCH PIN | |
| MDH 240 | Other | PREFERRED CARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R045025-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1043286248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 ALEXANDER ST",
"address_2": "SUITE 300",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146071920",
"telephone_number": "585-262-2820",
"fax_number": "585-271-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 ALEXANDER ST",
"address_2": "SUITE 300",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146071920",
"telephone_number": "585-262-2820",
"fax_number": "585-271-2198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARE",
"first_name": "MARY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R045025-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PIN",
"identifier": "270175",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "553863000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS PIN",
"identifier": "P010045025",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PIN",
"identifier": "322592",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "7272513",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH PIN",
"identifier": "201838",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE PIN",
"identifier": "MDH 240",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.