Active NPI
Angela Allen
- Social Worker
- Canandaigua, NY
National Provider Identifier
1326489055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 064899-1
- Practice address
- 400 Fort Hill Avenue
Canandaigua, NY 14424-2407 - Phone
- (585) 394-2000
- NPI assigned
- Jul 10, 2013
- Last updated
- May 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 064899-1 | NY | Primary |
Addresses
Primary practice location
400 Fort Hill Avenue
Canandaigua, NY 14424-2407
Mailing address
400 Fort Hill Ave
Canandaigua, NY 14424-1159
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
115 Fall St
Seneca Falls, NY 13148-1498
Phone (315) 515-5183
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064899-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presence Sealy Counseling and Development Licensedclinicalservicespllc | Current | Accepting new patients | |
| Presence Psychology, LMSW, PT, OT and SLP Services, PLLC | Current | Accepting new patients |
Locations
115 Fall St
Seneca Falls, NY 13148
Phone (315) 515-5183
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Presence Counseling Services
- Clinical Social Worker
- Seneca Falls, NY
- NPI 1346769734
-
dba Presence Developmental Services
- Intellectual & Developmental Disabilities Psychologist
- Seneca Falls, NY
- NPI 1538688924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400716800000",
"number": "1326489055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FORT HILL AVE",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FORT HILL AVENUE",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144242407",
"telephone_number": "585-394-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2014-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "064899-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.