Active NPI
Marianne Lane, LMSW
- Social Worker
- Rochester, NY
National Provider Identifier
1467608349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 073185-1
- Practice address
- 100 Groton Pkwy
Rochester, NY 14623-4540 - Phone
- (585) 359-3710
- Fax
- (585) 359-3722
- NPI assigned
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 073185-1 | NY | Primary |
Addresses
Primary practice location
100 Groton Pkwy
Rochester, NY 14623-4540
Mailing address
100 Groton Pkwy
Rochester, NY 14623-4540
Phone (585) 359-3710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00357240 | Medicaid | NY |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230822000061 | NY | Practitioner - Clinical Social Worker | 9931561073 | Practice locations: Rochester, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073185-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1467608349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GROTON PKWY",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146234540",
"telephone_number": "585-359-3710",
"fax_number": "585-359-3722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GROTON PKWY",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146234540",
"telephone_number": "585-359-3710",
"fax_number": "585-359-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "MARIANNE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "073185-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00357240",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.