NPIMap

Organization Active NPI

Presence Sealy Counseling and Development Licensedclinicalservicespllc

Doing business as Presence Counseling Services

  • Clinical Social Worker
  • Seneca Falls, NY
National Provider Identifier
1346769734
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R036144-1 Issued in NY
Legal business name
PRESENCE SEALY COUNSELING AND DEVELOPMENT LICENSEDCLINICALSERVICESPLLC
Doing business as
Presence Counseling Services
Practice address
115 Fall St
Seneca Falls, NY 13148-1498
Phone
(315) 515-5183
Fax
(315) 515-5194
NPI assigned
Sep 17, 2017
Last updated
Nov 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Jamee M. Sealy, LCSW-RNPI 1013007947
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 names 1

  • Presence Counseling Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

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": [],
    "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.

Verify at the official NPI Registry.