Individual provider Active NPI

Deborah Frances Ball, MSW LCSWR

  • Social Worker
  • Lyons, NY
National Provider Identifier
1174655260
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R0259981 Issued in NY
Practice address
1519 Nye Road
Wayne Behavioral Health Network
Lyons, NY 14489
Phone
(315) 946-5722
Fax
(315) 946-7066
NPI assigned
Mar 12, 2007
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
Social Worker 104100000X R0259981 NY Primary

Addresses

Primary practice location

1519 Nye Road
Wayne Behavioral Health Network
Lyons, NY 14489

Mailing address

3510 Sandhill Road
Marion, NY 14505
Phone (315) 926-0815

Other identifiers 1

IdentifierTypeStateIssuer
00025998MedicaidNY

Other names 1

  • Miss Deborah Frances Conley Other name

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
I20210907000140 NY Practitioner - Clinical Social Worker 8426454166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nysarc Inc.Group PAC ID 0840380044, 15 clinicians

Practice addresses (Care Compare)

150 Van Buren St
Newark, NY 14513-1238
Phone (315) 331-7741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0259981NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc. CurrentSince Jul 19, 2021 Accepting new patients

Locations

150 Van Buren St
Newark, NY 14513
Phone (315) 331-7741

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174655260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 SANDHILL ROAD",
            "city": "MARION",
            "state": "NY",
            "postal_code": "14505",
            "telephone_number": "315-926-0815",
            "fax_number": "315-946-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 NYE ROAD",
            "address_2": "WAYNE BEHAVIORAL HEALTH NETWORK",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "14489",
            "telephone_number": "315-946-5722",
            "fax_number": "315-946-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "DEBORAH",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0259981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00025998",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "CONLEY",
            "middle_name": "FRANCES",
            "prefix": "MISS",
            "credential": "LCSW R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lyons, NY

Sources for this page

Verify at the official NPI Registry.