Individual provider Active NPI

Mary Beiter, LCSW-R

  • Clinical Social Worker
  • East Aurora, NY
National Provider Identifier
1144415894
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R046064-1 Issued in NY
Practice address
552 Linden Ave
East Aurora, NY 14052-2915
Phone
(165) 450-3147
NPI assigned
Sep 6, 2007
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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 R046064-1 NY Primary

Addresses

Primary practice location

552 Linden Ave
East Aurora, NY 14052-2915

Mailing address

552 Linden Ave
East Aurora, NY 14052-2915
Phone (716) 545-0314

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
I20120321000015 NY Practitioner - Clinical Social Worker 6901995992 Reassigns benefits to 1 organization
Practice locations: East Aurora, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Buffalo School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

552 Linden Ave
East Aurora, NY 14052-2915
Phone (716) 652-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R046064-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn M Walker, LCSW, PLLC Clinical CurrentSince Feb 8, 2023 Accepting new patients
Aspire of Western New York Inc. CurrentSince Aug 23, 2023 Accepting new patients
Hulbert Counseling Services LCSW PC Clinical CurrentSince Feb 8, 2023 Accepting new patients
Catholic Charities of Buffalo PastSince Feb 8, 1999 Accepting new patients

Locations

7 Community Dr
Cheektowaga, NY 14225
Phone (716) 505-5630

552 Linden Ave
East Aurora, NY 14052
Phone (716) 512-3709

2356 N Forest Rd
Getzville, NY 14068
Phone (716) 505-5560

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1144415894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 LINDEN AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522915",
            "telephone_number": "716-545-0314",
            "fax_number": "716-856-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 LINDEN AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522915",
            "telephone_number": "165-450-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITER",
        "first_name": "MARY",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R046064-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

Verify at the official NPI Registry.