Individual provider Active NPI

Annie Elizabeth Hanley, LCSW

  • Clinical Social Worker
  • Warsaw, NY
National Provider Identifier
1295853166
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077382-1 Issued in NY
Practice address
39 Duncan St
Warsaw, NY 14569-1017
Phone
(585) 786-0190
Fax
(585) 786-0196
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 071121 NY
Clinical Social Worker 1041C0700X 077382-1 NY Primary

Addresses

Primary practice location

39 Duncan St
Warsaw, NY 14569-1017

Mailing address

4600 Millennium Dr
Geneseo, NY 14454-1197
Phone (585) 243-7250

Other names 1

  • Annie Elizabeth Hennigan 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
I20110422000190 NY Practitioner - Clinical Social Worker 0042495749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Livingston CountyGroup PAC ID 8527027093, 10 clinicians

Practice addresses (Care Compare)

4600 Millennium Dr
Geneseo, NY 14454-1197
Phone (585) 243-7250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071121NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston County CurrentSince Jun 21, 2016 Accepting new patients
Livingston County CurrentSince Jun 21, 2016 Accepting new patients

Locations

4600 Millennium Dr
Geneseo, NY 14454
Phone (585) 243-7250

Organizations & group practices 2

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1295853166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MILLENNIUM DR",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541197",
            "telephone_number": "585-243-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 DUNCAN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691017",
            "telephone_number": "585-786-0190",
            "fax_number": "585-786-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "ANNIE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "071121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077382-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "HENNIGAN",
            "middle_name": "ELIZABETH",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warsaw, NY

Sources for this page

Verify at the official NPI Registry.