Individual provider Active NPI

Debra Karen Greenfeld, LCSW

  • Social Worker
  • Pittsford, NY
National Provider Identifier
1467544056
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
NYR028527 Issued in NY
Practice address
55 Sullys TRL
Pittsford, NY 14534-3701
Phone
(585) 425-3700
Fax
(585) 248-0734
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NYR028527 NY Primary

Addresses

Primary practice location

55 Sullys TRL
Pittsford, NY 14534-3701

Mailing address

55 Sullys Trail
Pittsford, NY 14534
Phone (585) 425-3700

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
I20100329000312 NY Practitioner - Clinical Social Worker 6709912819 Practice locations: Pittsford, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

55 Sullys TRL
Pittsford, NY 14534-3701
Phone (585) 425-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NYR028527NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sci Anesthesia PLLC Past Accepting new patients
Salvatore J Guarnieri DDS PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467544056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SULLYS TRAIL",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "14534",
            "telephone_number": "585-425-3700",
            "fax_number": "585-248-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SULLYS TRL",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343701",
            "telephone_number": "585-425-3700",
            "fax_number": "585-248-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFELD",
        "first_name": "DEBRA",
        "middle_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "NYR028527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.