Active NPI
Patricia Denhoff, LCSW-R
- Clinical Social Worker
- Penfield, NY
National Provider Identifier
1063560241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R038242-1
- Practice address
- 401 Penbrooke Dr
Building 2 Suite K
Penfield, NY 14526-2041 - Phone
- (585) 377-6470
- NPI assigned
- Jan 6, 2007
- Last updated
- Jul 8, 2007
- 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 | R038242-1 | NY | Primary |
Addresses
Primary practice location
401 Penbrooke Dr
Building 2 Suite K
Penfield, NY 14526-2041
Mailing address
65 Willowbend Dr
Penfield, NY 14526-1122
Phone (585) 377-6470
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171211000329 | NY | Practitioner - Clinical Social Worker | 1557629052 | Practice locations: Penfield, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R038242-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott L. Roth M.D, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Rochester, NY
- NPI 1447445291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063560241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 WILLOWBEND DR",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261122",
"telephone_number": "585-377-6470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PENBROOKE DR",
"address_2": "BUILDING 2 SUITE K",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145262041",
"telephone_number": "585-377-6470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENHOFF",
"first_name": "PATRICIA",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R038242-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.