Individual provider Active NPI

George C Metcalfe Jr., MSW, LCSW

  • Clinical Social Worker
  • Saratoga Springs, NY
National Provider Identifier
1245259993
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R051647-1 Issued in NY
Practice address
63 Franklin St
Saratoga Springs, NY 12866-3023
Phone
(518) 587-0499
Fax
(518) 587-0536
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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 R051647-1 NY Primary

Addresses

Primary practice location

63 Franklin St
Saratoga Springs, NY 12866-3023

Mailing address

63 Franklin St
Saratoga Springs, NY 12866-3023
Phone (518) 587-0499

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
I20100211000054 NY Practitioner - Clinical Social Worker 2961545066 Practice locations: Saratoga Springs, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 W Ave
Suite 205
Saratoga Springs, NY 12866-3023

63 Franklin St
Saratoga Springs, NY 12866-3023
Phone 518587049919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R051647-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1245259993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FRANKLIN ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128663023",
            "telephone_number": "518-587-0499",
            "fax_number": "518-587-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FRANKLIN ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128663023",
            "telephone_number": "518-587-0499",
            "fax_number": "518-587-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALFE",
        "first_name": "GEORGE",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R051647-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.