Individual provider Active NPI

Judith Hefner, LCSW-R

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1184820904
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R027507-1 Issued in NY
Practice address
1300 Niagara St
Buffalo, NY 14213-1503
Phone
(716) 882-2127
Fax
(716) 882-9277
NPI assigned
Jun 27, 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
Clinical Social Worker 1041C0700X R027507-1 NY Primary

Addresses

Primary practice location

1300 Niagara St
Buffalo, NY 14213-1503

Mailing address

1300 Niagara St
PO Box 657
Buffalo, NY 14213-1503
Phone (716) 882-2127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
R027507-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Services-Erie County Northwest Corporation I CurrentSince Oct 4, 1999 Accepting new patients

Locations

1300 Niagara St
Buffalo, NY 14213
Phone (716) 882-2127

2495 Elmwood Ave
Kenmore, NY 14217
Phone (716) 882-2127

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184820904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NIAGARA ST",
            "address_2": "PO BOX 657",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131503",
            "telephone_number": "716-882-2127",
            "fax_number": "716-882-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131503",
            "telephone_number": "716-882-2127",
            "fax_number": "716-882-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFNER",
        "first_name": "JUDITH",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027507-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.