Jane Kathryn Chauncey, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

059542 Issued in NY

Practice address

409 E Upland Rd Ste 200B
Ithaca, NY 14850-2545

Phone

(607) 280-5506

NPI assigned

Jun 17, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nysarc Inc.

  dba The Arc Madison Cortland

  • Clinic/Center
  • Oneida, NY
  • NPI 1427113547
  NPD (past)
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1265437941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E UPLAND RD STE 200B",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502545",
            "telephone_number": "607-280-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E UPLAND RD STE 200B",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502545",
            "telephone_number": "607-280-5506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4038 West Rd",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130451149",
            "country_code": "US",
            "telephone_number": "607-758-3008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUNCEY",
        "first_name": "JANE",
        "middle_name": "KATHRYN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "059542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Chamberlin
• Carol Ann Chambers
• Gichin Changaramkumarath
• Pamela Ann Chapman, LCSW
• Kelsey Proulx Chatterton, PT, DPT
• Timothy Cheeseboro
• Eric Chen, DMD
• Melinda Ashley Chen, PA
• Szu-Hua Chen, PT, PHD
• Wayne Chen, ACU

• Clinical Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.