Marie Bakowski, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

074622-1 Issued in NY

Practice address

2600 S Park Ave
Lackawanna Counseling
Lackawanna, NY 14218-1504

Phone

(716) 822-2117

Fax

(716) 822-8165

NPI assigned

Sep 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wny Medical PC

  • Internal Medicine Physician
  • Amherst, NY
  • NPI 1154421246
  Medicare reassignment NPD
• Jenny T Bagen

  • Adult Psychiatric/Mental Health Registered Nurse
  • Depew, NY
  • NPI 1417318379
  NPD (past)
• JT Bagen Enterprises Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Lancaster, NY
  • NPI 1992846497
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1083809644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 FRANKLIN ST",
            "address_2": "LAKE SHORE BEHAVIORAL HEALTH",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021954",
            "telephone_number": "716-842-0440",
            "fax_number": "716-842-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S PARK AVE",
            "address_2": "LACKAWANNA COUNSELING",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181504",
            "telephone_number": "716-822-2117",
            "fax_number": "716-822-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKOWSKI",
        "first_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "074622-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "074622-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baker Victory Healthcare Center
• Baker Victory Healthcare Center
• Baker Victory Healthcare Center
• Baker Victory Services
• Baker Victory Services
• Lisa Balderman, LCSW
• Lydia Ballinger, PHD
• Laura Barnack
• Felicia Jonee Barnes, LPN
• Ginat Barren, MSPT

• Counselor in Lackawanna, NY
• Providers in Lackawanna, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.