Annie Coburn-Kane LCSW PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ANNIE COBURN-KANE LCSW PC

Practice address

638 Lake St # 818
Wilson, NY 14172-9600

Phone

(716) 807-2582

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Annie L Coburn-Kane, LCSW-RNPI 1497820534

Title

President

Phone

(716) 807-2582

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Annie Loraine Coburn Kane, LCSW R

  • Social Worker
  • Amherst, NY
  • NPI 1497820534

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1356977151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 LAKE ST # 818",
            "city": "WILSON",
            "state": "NY",
            "postal_code": "141729600",
            "telephone_number": "716-807-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 LAKE ST # 818",
            "city": "WILSON",
            "state": "NY",
            "postal_code": "141729600",
            "telephone_number": "716-807-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE COBURN-KANE LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "COBURN-KANE",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-807-2582",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advance Chiropractic-Wilson P.C.
• Elizabeth A Barnum, RN
• Elizabeth Botzer, PH.D.
• Ann Branch, LMT
• Mary A Canfield, RN
• Erica Renee Clement, MS OTR/L

• All providers in Wilson, NY
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.