Individual provider Active NPI

Deborah Heather Loewe, LCSW-R

  • Clinical Social Worker
  • Cortland, NY
National Provider Identifier
1134442130
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R044589 Issued in NY
Practice address
1710 Nys Rte 13
Cortland, NY 13045-9617
Phone
(607) 758-5148
Fax
(607) 753-9546
NPI assigned
Mar 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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 R044589 NY Primary

Addresses

Primary practice location

1710 Nys Rte 13
Cortland, NY 13045-9617

Mailing address

1710 Nys Rte 13
Cortland, NY 13045-9617
Phone (607) 758-5148

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
I20190416003180 NY Practitioner - Clinical Social Worker 4082955257 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R044589NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shakespeare & Muscente LCSW, PLLC CurrentSince Mar 4, 2019 Accepting new patients

Locations

121 W Court St
Ste 101
Ithaca, NY 14850
Phone (607) 256-4422

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": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1134442130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 NYS RTE 13",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130459617",
            "telephone_number": "607-758-5148",
            "fax_number": "607-753-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 NYS RTE 13",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130459617",
            "telephone_number": "607-758-5148",
            "fax_number": "607-753-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEWE",
        "first_name": "DEBORAH",
        "middle_name": "HEATHER",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.