Individual provider Active NPI

Margie Sue Smith, LCSW-R

  • Clinical Social Worker
  • Elmira, NY
National Provider Identifier
1265450555
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR060354-01 Issued in NY
Practice address
147 W Gray St Ste 111
Elmira, NY 14901-3017
Phone
(607) 731-3881
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 PR060354-01 NY Primary

Addresses

Primary practice location

147 W Gray St Ste 111
Elmira, NY 14901-3017

Mailing address

147 W Gray St Ste 111
Elmira, NY 14901-3017
Phone (607) 731-3881

Other names 1

  • Margie Sue Furman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR060354-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler County Mental Health Clinical PastSince Oct 1, 1992 Accepting new patients
Where the Sidewalk Ends, LLC Clinical Past Accepting new patients
Milissa Cerio PastSince Oct 23, 2017 Accepting new patients
Schuyler County Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1265450555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W GRAY ST STE 111",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013017",
            "telephone_number": "607-731-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W GRAY ST STE 111",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013017",
            "telephone_number": "607-731-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARGIE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR060354-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGIE",
            "last_name": "FURMAN",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.