Active NPI
Presence Sealy Counseling and Development Licensedclinicalservicespllc
- Clinical Social Worker
- Seneca Falls, NY
National Provider Identifier
1346769734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R036144-1
- Legal business name
- PRESENCE SEALY COUNSELING AND DEVELOPMENT LICENSEDCLINICALSERVICESPLLC
- Practice address
- 115 Fall St
Seneca Falls, NY 13148-1498 - Phone
- (315) 515-5183
- Fax
- (315) 515-5194
- NPI assigned
- Sep 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamee M. Sealy, LCSW-R
- Title
- Owner
- Phone
- (315) 568-8894
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R036144-1 | NY | Primary |
Addresses
Primary practice location
115 Fall St
Seneca Falls, NY 13148-1498
Mailing address
115 Fall St
Seneca Falls, NY 13148-1498
Phone (315) 515-5183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05325920 | Medicaid | NY |
Other names 1
- Presence Counseling Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171221001527 | NY | Part B Supplier - Clinic/Group Practice | 7214295245 |
Receives reassigned benefits from 13 practitioners Practice locations: Seneca Falls, NY |
National Provider Directory
National Provider DirectoryLocations
115 Fall St
Seneca Falls, NY 13148
Phone (315) 515-5183
Practitioners & affiliated clinicians
Practitioners 33
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": "1505606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730419200000",
"number": "1346769734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 FALL ST",
"city": "SENECA FALLS",
"state": "NY",
"postal_code": "131481498",
"telephone_number": "315-515-5183",
"fax_number": "315-515-5194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 FALL ST",
"city": "SENECA FALLS",
"state": "NY",
"postal_code": "131481498",
"telephone_number": "315-515-5183",
"fax_number": "315-515-5194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESENCE SEALY COUNSELING AND DEVELOPMENT LICENSEDCLINICALSERVICESPLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-17",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A",
"authorized_official_last_name": "SEALY",
"authorized_official_first_name": "JAMEE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-568-8894",
"authorized_official_credential": "LCSW-R"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R036144-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05325920",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Presence Counseling Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Seneca Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.