Active NPI
Pamela J Coffey-Marceau, LCSW-R
- Clinical Social Worker
- East Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R047360-1
- Practice address
- 5008 Brittonfield Pkwy Ste 700
East Syracuse, NY 13057 - Phone
- (315) 472-7504
- Fax
- (315) 634-4677
- NPI assigned
- Oct 25, 2006
- Last updated
- Aug 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R047360-1 | NY | Primary |
Addresses
Primary practice location
5008 Brittonfield Pkwy Ste 700
East Syracuse, NY 13057
Mailing address
5008 Brittonfield Pkwy Ste 700
East Syracuse, NY 13057-9249
Phone (315) 472-7504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R047360 | Other | NY | NYS LICENSE |
Other names 1
- Pamela J Coffey
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5008 Brittonfield Pkwy
East Syracuse, NY 13057-9248
Phone (315) 472-7504
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R047360-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hematology-Oncology Associates of Cny, PC | Clinical | Current | Accepting new patients |
| Buffalo Centre for the Treatment of Eating Disorders | Past | Accepting new patients | |
| Centre Syracuse, LLC | Past | Accepting new patients |
Locations
5008 Brittonfield Pkwy
East Syracuse, NY 13057
Phone (315) 634-5056
5008 Brittonfield Pkwy
Ste 700
East Syracuse, NY 13057
Organizations & group practices 3
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.
-
- Hematology & Oncology Physician
- East Syracuse, NY
- NPI 1902885429
Clinical
-
- Mental Health Counselor
- Syracuse, NY
- NPI 1033419213
-
- Community/Behavioral Health Agency
- Syracuse, NY
- NPI 1578682381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1467536482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 BRITTONFIELD PKWY STE 700",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579249",
"telephone_number": "315-472-7504",
"fax_number": "315-634-4677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5008 BRITTONFIELD PKWY STE 700",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "13057",
"telephone_number": "315-472-7504",
"fax_number": "315-634-4677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEY-MARCEAU",
"first_name": "PAMELA",
"middle_name": "J",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R047360-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "R047360",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "COFFEY",
"middle_name": "J",
"credential": "LCSW-R",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.