Individual provider Active NPI

Patricia S. Sage-McLean, LCSW-R

  • Clinical Social Worker
  • Binghamton, NY
National Provider Identifier
1285837609
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073353 Issued in NY
Practice address
20-24 S Washington St
Binghamton, NY 13903-1710
Phone
(607) 251-2300
Fax
(607) 251-2314
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X 073353 NY Primary

Addresses

Primary practice location

20-24 S Washington St
Binghamton, NY 13903-1710

Mailing address

143 McLean LN
Greene, NY 13778-2214

Other names 1

  • Patricia S Sage Former name

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
I20090909000224 NY Practitioner - Clinical Social Worker 8628123015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skypiatrist Psychiatry PLLCGroup PAC ID 0345511929, 3 clinicians

Practice addresses (Care Compare)

109 N 12TH St
Suite 704
Brooklyn, NY 11249-1002
Phone (844) 384-2779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073353NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Skypiatrist Psychiatry, PLLC CurrentSince Mar 15, 2021 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Current Accepting new patients
Sage-McLean Kindness Care LCSW, PLLC Clinical CurrentSince Mar 20, 2022 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince May 13, 2017 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince May 13, 2017 Accepting new patients

Locations

20-24 S Washington St
Binghamton, NY 13903
Phone (607) 251-2300

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

109 N 12th St
Ste 704
Brooklyn, NY 11249
Phone (347) 378-3144

Organizations & group practices 6

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1285837609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 MCLEAN LN",
            "city": "GREENE",
            "state": "NY",
            "postal_code": "137782214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20-24 S WASHINGTON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031710",
            "telephone_number": "607-251-2300",
            "fax_number": "607-251-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGE-MCLEAN",
        "first_name": "PATRICIA",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "SAGE",
            "middle_name": "S",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.