Individual provider Active NPI

Patricia A Humm, LCSW

  • Clinical Social Worker
  • Jamestown, NY
National Provider Identifier
1043543903
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081487-1 Issued in NY
Practice address
332 East Fourth St
Jamestown, NY 14702-0457
Phone
(716) 488-1971
Fax
(716) 488-1971
NPI assigned
Sep 10, 2009
Last updated
May 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 081487-1 NY Primary

Addresses

Primary practice location

332 East Fourth St
Jamestown, NY 14702-0457

Mailing address

332 E 4TH St
Jamestown, NY 14701-5502
Phone (716) 488-1971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140624000424 NY Practitioner - Clinical Social Worker 6901020437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Buffalo School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Service of the Chautauqua Region, Inc.Group PAC ID 8729032784, 5 clinicians

Practice addresses (Care Compare)

332 E 4TH St
Jamestown, NY 14701-5502
Phone (716) 488-1971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081487-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service of the Chautauqua Region Inc Clinical CurrentSince Apr 16, 2014 Accepting new patients
Comprehensive Counseling LCSW, PLLC Clinical CurrentSince Jul 5, 2023 Accepting new patients

Locations

2 Main St
Ste 2A
Plymouth, MA 02360

3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256

332 E 4th St
Jamestown, NY 14701
Phone (716) 488-1971

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1043543903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 E 4TH ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015502",
            "telephone_number": "716-488-1971",
            "fax_number": "716-488-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 EAST FOURTH ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147020457",
            "telephone_number": "716-488-1971",
            "fax_number": "716-488-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMM",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081487-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.