Antoinette Poole, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

097644 Issued in NY

Practice address

55 Troup St
Rochester, NY 14608-2053

Phone

(585) 546-7220

Fax

(585) 546-2607

NPI assigned

Mar 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Villa of Hope

  • Voluntary or Charitable Agency
  • Rochester, NY
  • NPI 1578640298
  Medicare reassignment NPD
• Catholic Charities of the Diocese of Rochester

  • Community/Behavioral Health Agency
  • Rochester, NY
  • NPI 1790853844
  NPD (past)

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1477084986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TROUP ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146082053",
            "telephone_number": "585-546-7220",
            "fax_number": "585-546-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 TROUP ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146082053",
            "telephone_number": "585-546-7220",
            "fax_number": "585-546-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "ANTOINETTE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manasa Ponnapalli, MD
• Jyothsna Ponnuri, MD
• Kristen Ponticello
• Emilie Ponton, DMD
• Dominick Ponzi, MD
• Antoniece Keyonia-Renee Poole, LPN
• Ashley Poole
• Sandy Poon
• Vickey Poon, R.PH
• Colleen Rose Poormon, RN

• Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.

Verify at the official NPI Registry.