Organization Active NPI

Insight to Clinical Therapy LCSW PLLC

  • Clinical Social Worker
  • Liverpool, NY
National Provider Identifier
1255119830
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INSIGHT TO CLINICAL THERAPY LCSW PLLC
Practice address
600 Oswego St
Liverpool, NY 13088-5178
Phone
(315) 658-6496
Fax
(315) 457-6000
NPI assigned
Sep 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rita Worlock, LCSWNPI 1992231427
Title
Owner
Phone
(315) 658-6496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

600 Oswego St
Liverpool, NY 13088-5178

Mailing address

600 Oswego St
Liverpool, NY 13088-5178
Phone (315) 760-4589

Other names 1

  • Insight to Therapy, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241001000981 NY Part B Supplier - Clinic/Group Practice 7416488549 Receives reassigned benefits from 1 practitioner
Practice locations: Liverpool, NY

National Provider Directory

National Provider Directory

Locations

600 Oswego St
Liverpool, NY 13088
Phone (315) 658-6496

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1255119830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OSWEGO ST",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885178",
            "telephone_number": "315-760-4589",
            "fax_number": "315-457-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OSWEGO ST",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885178",
            "telephone_number": "315-658-6496",
            "fax_number": "315-457-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT TO CLINICAL THERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "WORLOCK",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-658-6496",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight to Therapy, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.