Nancy Ellen Prowell, LCSW. CASAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Honeoye, NY

NPI 1104995489 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1104995489
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
8145 (NY)
Practice address
4545 County Road 33
Honeoye, NY 14471
Phone
(585) 229-4926
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
8145NYMDAddiction (Substance Use Disorder) Counselor
R049049NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 8145 NY Yes
Mental Health Counselor 101YM0800X R049049 NY

Addresses

Primary practice location

4545 County Road 33
Honeoye, NY 14471

Mailing address

4545 County Road 33
Honeoye, NY 14471
Phone (585) 229-4926

Other identifiers

IdentifierTypeStateIssuer
R049049OtherNYLCSW
8145OtherNYCASAC

Other providers in Honeoye, NY

All providers in Honeoye, NY · Addiction (Substance Use Disorder) Counselor in New York

Sources for this page

Verify at the official NPI Registry.