Margaret R Gilmore-Resnick

Individual provider Active NPI Clinical Social Worker · Lycoming, NY

NPI 1356709307 · NPPES record last updated Feb 5, 2016

Key facts

NPI
1356709307
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
083624 (NY)
Practice address
1063 County Route 29
Lycoming, NY 13093
Phone
(315) 592-8591
NPI assigned
Feb 5, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1063 County Route 29
Lycoming, NY 13093-7700
Phone (315) 592-8591

1063 County Route 29N
Lycoming, NY 13093-7700

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160509000766 NY Practitioner - Clinical Social Worker 9234438573 Practice locations: Lycoming, NY; Oswego, NY

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Gilmore-Resnick, LCSW, PLLC Clinical Current
since Jun 21, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 083624 NY Yes

Addresses

Primary practice location

1063 County Route 29
Lycoming, NY 13093

Mailing address

1063 County Route 29
PO Box 1
Lycoming, NY 13093
Phone (315) 592-8591

Sources for this page

Verify at the official NPI Registry.