Individual provider Active NPI

Deborah Gants Felschow, LCSW

  • Clinical Social Worker
  • Hamburg, NY
National Provider Identifier
1235407917
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074068-1 Issued in NY
Practice address
97 S Buffalo St
Hamburg, NY 14075-6212
Phone
(716) 648-0650
Fax
(716) 648-0666
NPI assigned
Dec 8, 2011
Last updated
Dec 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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 074068-1 NY Primary

Addresses

Primary practice location

97 S Buffalo St
Hamburg, NY 14075-6212

Mailing address

97 S Buffalo St
Hamburg, NY 14075-6212
Phone (716) 648-0650

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
074068-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Towns Wellness LCSW PLLC Clinical PastSince Aug 30, 2020 Accepting new patients
Hamburg Counseling Service Past Accepting new patients
Catholic Charities of Buffalo PastSince Feb 8, 1999 Accepting new patients

Organizations & group practices 3

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": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1235407917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 S BUFFALO ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140756212",
            "telephone_number": "716-648-0650",
            "fax_number": "716-648-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 S BUFFALO ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140756212",
            "telephone_number": "716-648-0650",
            "fax_number": "716-648-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELSCHOW",
        "first_name": "DEBORAH",
        "middle_name": "GANTS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074068-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.