Individual provider Active NPI

Cheryl Pieczonka, LCSW

  • Social Worker
  • Lackawanna, NY
National Provider Identifier
1053424788
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
049825 Issued in NY
Practice address
2600 South Park Ave
Lackawanna Counseling
Lackawanna, NY 14218
Phone
(716) 822-2117
Fax
(716) 822-8165
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 049825 NY Primary

Addresses

Primary practice location

2600 South Park Ave
Lackawanna Counseling
Lackawanna, NY 14218

Mailing address

2600 South Park Avenue
Lackawanna Counseling
Lackawanna, NY 14218
Phone (716) 822-2117

Other identifiers 1

IdentifierTypeStateIssuer
049825OtherNYLCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Services Inc PastSince Sep 1, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053424788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SOUTH PARK AVENUE",
            "address_2": "LACKAWANNA COUNSELING",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "14218",
            "telephone_number": "716-822-2117",
            "fax_number": "716-822-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SOUTH PARK AVE",
            "address_2": "LACKAWANNA COUNSELING",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "14218",
            "telephone_number": "716-822-2117",
            "fax_number": "716-822-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIECZONKA",
        "first_name": "CHERYL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "049825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "049825",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackawanna, NY

Sources for this page

Verify at the official NPI Registry.