Individual provider Active NPI

Michelle-Lee E Senecal-Hunt, LCSW

  • Clinical Social Worker
  • North Tonawanda, NY
National Provider Identifier
1376719468
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081122 Issued in NY
Practice address
4143 Beach Ridge Rd
North Tonawanda, NY 14120-9574
Phone
(716) 417-3078
NPI assigned
May 8, 2008
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 081122 NY
Clinical Social Worker 1041C0700X 081122 NY Primary

Addresses

Primary practice location

4143 Beach Ridge Rd
North Tonawanda, NY 14120-9574

Mailing address

4149 Beach Ridge Rd
North Tonawanda, NY 14120-9574
Phone (716) 417-3078

Other practice location 1

6237 Drake Settlement Rd
Burt, NY 14028-9718
Phone (716) 417-3078

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722002180 NY Practitioner - Clinical Social Worker 6204239692 Reassigns benefits to 2 organizations
Practice locations: North Tonawanda, NY; Burt, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Psychological Services, PC Clinical CurrentSince Dec 13, 2022 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Dec 13, 2022 Accepting new patients

Locations

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

100 Park Ave
Fl 16
New York, NY 10017
Phone (212) 433-2384

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

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.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1376719468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4149 BEACH RIDGE RD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141209574",
            "telephone_number": "716-417-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 BEACH RIDGE RD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141209574",
            "telephone_number": "716-417-3078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6237 Drake Settlement Rd",
            "address_purpose": "LOCATION",
            "city": "Burt",
            "state": "NY",
            "postal_code": "140289718",
            "country_code": "US",
            "telephone_number": "716-417-3078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENECAL-HUNT",
        "first_name": "MICHELLE-LEE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081122",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.