Nicole Gerace, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

56 Shepard Street
Suite 1
Walton, NY 13856

Phone

(607) 865-7931

Fax

(607) 865-5790

NPI assigned

Aug 16, 2005

Last updated

Apr 20, 2022By the provider in NPPES

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 names 1

• Nicole Gerace Professional name

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Nicole Gerace LCSW PLLC

  • Community/Behavioral Health Agency
  • Walton, NY
  • NPI 1811430168
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1164414124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "13856",
            "telephone_number": "607-865-7931",
            "fax_number": "607-865-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 SHEPARD STREET",
            "address_2": "SUITE 1",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "13856",
            "telephone_number": "607-865-7931",
            "fax_number": "607-865-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERACE",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GERACE",
            "credential": "LCSW, PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sibel Finn
• Patrick James Fitzpatrick
• Karen Holland Nicholson Forbes, LCSW-R
• Michael C Free, RPA-C
• Michael J Freeman, DO
• Erin Marie Gotthardt, LMSW
• Jane F. Gotthardt, N. P.
• Kailyn Griffin, LPN
• Amanda M Groff, TSSLD
• Kim Evelyn Halaquist, FNP

• Clinical Social Worker in Walton, NY
• Providers in Walton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.