Individual provider Active NPI

Aubrey Carmen Munson, LMSW

  • Social Worker
  • Ithaca, NY
National Provider Identifier
1073836227
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0777631 Issued in NY
Practice address
555 Warren Rd
Ithaca, NY 14850-1862
Phone
(607) 257-1551
Fax
(607) 257-2510
NPI assigned
Mar 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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 0777631 NY Primary

Addresses

Primary practice location

555 Warren Rd
Ithaca, NY 14850-1862

Mailing address

555 Warren Rd
Ithaca, NY 14850-1862
Phone (607) 257-1551

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
I20131226000018 NY Order and Referring Only - Clinical Social Worker 1355578188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0777631NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TST Boces Past Accepting new patients
Franziska Racker Centers Inc Social Worker Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1073836227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WARREN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501862",
            "telephone_number": "607-257-1551",
            "fax_number": "607-257-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WARREN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501862",
            "telephone_number": "607-257-1551",
            "fax_number": "607-257-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "AUBREY",
        "middle_name": "CARMEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0777631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.