Individual provider Active NPI

Judy McCaffery, LCSW

  • Clinical Social Worker
  • Williamsville, NY
National Provider Identifier
1083657191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
068469 Issued in NY
Practice address
5330 Main St Ste 240
Williamsville, NY 14221-5360
Phone
(716) 626-9016
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 068469 NY Primary

Addresses

Primary practice location

5330 Main St Ste 240
Williamsville, NY 14221-5360

Mailing address

8047 Marble Rd
Akron, NY 14001-9212
Phone (585) 542-3931

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
I20050725000772 NY Practitioner - Clinical Social Worker 7719914407 Practice locations: Williamsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2821 Wehrle Dr
Suite 8B
Williamsville, NY 14221-7386
Phone (585) 735-5068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068469NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Nurse Practitioner Practice, PLLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083657191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8047 MARBLE RD",
            "city": "AKRON",
            "state": "NY",
            "postal_code": "140019212",
            "telephone_number": "585-542-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 MAIN ST STE 240",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215360",
            "telephone_number": "716-626-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAFFERY",
        "first_name": "JUDY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "068469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.