Individual provider Active NPI

Catherine Jeanne Farrell, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1205951407
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R050028-1 Issued in NY
Practice address
142 Goethals Dr
Rochester, NY 14616-1928
Phone
(585) 233-1334
Fax
(585) 225-0188
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 R050028-1 NY Primary

Addresses

Primary practice location

142 Goethals Dr
Rochester, NY 14616-1928

Mailing address

142 Goethals Dr
Rochester, NY 14616-1928
Phone (585) 233-1334

Other identifiers 1

IdentifierTypeStateIssuer
02308836MedicaidNY

Other names 1

  • Ms. Catherine Jeanne Bleau Farrell 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
I20050923000279 NY Practitioner - Clinical Social Worker 7911931472 Practice locations: Rochester, NY; Webster, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R050028-1NYMDClinical Social Worker
050028NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1205951407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 GOETHALS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161928",
            "telephone_number": "585-233-1334",
            "fax_number": "585-225-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 GOETHALS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161928",
            "telephone_number": "585-233-1334",
            "fax_number": "585-225-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "CATHERINE",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R050028-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02308836",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "BLEAU FARRELL",
            "middle_name": "JEANNE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.