Active NPI
Margaret A Nezelek, LCSW
- Counselor
- Sidney, NY
National Provider Identifier
1265466601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- R0440551
- Practice address
- 76 Main St
Suite B
Sidney, NY 13838-1112 - Phone
- (607) 563-4080
- Fax
- (607) 563-4080
- NPI assigned
- Jul 10, 2006
- Last updated
- Feb 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | R0440551 | NY | Primary |
Addresses
Primary practice location
76 Main St
Suite B
Sidney, NY 13838-1112
Mailing address
76 Main St
Suite B
Sidney, NY 13838-1112
Phone (607) 563-4080
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 713336 | Other | NY | MVP |
| 748252300 | Other | NY | VALUE OPTIONS-EMPIRE |
| 7482523002 | Other | NY | GHI |
| 135251 | Other | NY | CDPHP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R0440551 | NY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis and Nezelek Clinical Counseling | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Sidney, NY
- NPI 1851514178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1265466601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 MAIN ST",
"address_2": "SUITE B",
"city": "SIDNEY",
"state": "NY",
"postal_code": "138381112",
"telephone_number": "607-563-4080",
"fax_number": "607-563-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 MAIN ST",
"address_2": "SUITE B",
"city": "SIDNEY",
"state": "NY",
"postal_code": "138381112",
"telephone_number": "607-563-4080",
"fax_number": "607-563-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEZELEK",
"first_name": "MARGARET",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "R0440551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "713336",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS-EMPIRE",
"identifier": "748252300",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "7482523002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "135251",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sidney, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.