Individual provider Active NPI

Ann Marie Mills, LCSWR

  • Clinical Social Worker
  • Oneonta, NY
National Provider Identifier
1124058722
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R043018-1 Issued in NY
Practice address
3200 Chestnut St
Suite 121
Oneonta, NY 13820-1045
Phone
(607) 436-0933
NPI assigned
Jul 3, 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 R043018-1 NY Primary

Addresses

Primary practice location

3200 Chestnut St
Suite 121
Oneonta, NY 13820-1045

Mailing address

448 Airport Rd
Oneonta, NY 13820-4646
Phone (607) 436-9033

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
I20101204000093 NY Practitioner - Clinical Social Worker 0345437273 Reassigns benefits to 1 organization
Practice locations: Oneonta, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R043018-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Mar 24, 2018 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Mar 24, 2018 Accepting new patients
Delaware County PastSince Jul 13, 2018 Accepting new patients
Delaware County Past Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

Organizations & group practices 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124058722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 AIRPORT RD",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138204646",
            "telephone_number": "607-436-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CHESTNUT ST",
            "address_2": "SUITE 121",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138201045",
            "telephone_number": "607-436-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "ANN MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043018-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.