Organization Active NPI

Mary Lafountain LCSW PLLC

  • Social Worker
  • Schenectady, NY
National Provider Identifier
1306616180
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MARY LAFOUNTAIN LCSW PLLC
Practice address
1918 Oakland Ave
Schenectady, NY 12308-1321
Phone
(518) 257-9131
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Mrs. Mary Ann Lafountain, LCSW-RNPI 1821546185
Title
Owner
Phone
(518) 257-9131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

1918 Oakland Ave
Schenectady, NY 12308-1321

Mailing address

1918 Oakland Ave
Schenectady, NY 12308-1321
Phone (518) 257-9131

Other practice location 1

1509 Union St
Schenectady, NY 12309-6003
Phone (518) 257-9131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240304000182 NY Part B Supplier - Clinic/Group Practice 7113362906 Receives reassigned benefits from 1 practitioner
Practice locations: Schenectady, NY

National Provider Directory

National Provider Directory

Locations

1509 Union St
Schenectady, NY 12309
Phone (518) 257-9131

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1306616180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 OAKLAND AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123081321",
            "telephone_number": "518-257-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 OAKLAND AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123081321",
            "telephone_number": "518-257-9131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 Union St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123096003",
            "country_code": "US",
            "telephone_number": "518-257-9131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARY LAFOUNTAIN LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "LAFOUNTAIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-257-9131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.