Individual provider Active NPI

Melissa Bramley, LCSW-R

  • Clinical Social Worker
  • Cortland, NY
National Provider Identifier
1477662252
Registry record updated Oct 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R053483-1 Issued in NY
Practice address
17 Main St
Suite 202
Cortland, NY 13045-6606
Phone
(607) 662-0209
Fax
(607) 662-0238
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R053483-1 NY Primary

Addresses

Primary practice location

17 Main St
Suite 202
Cortland, NY 13045-6606

Mailing address

17 Main St
Suite 202
Cortland, NY 13045-6606
Phone (607) 662-0209

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
I20050107000334 NY Practitioner - Clinical Social Worker 4789632613 Practice locations: Cortland, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

165 Main St
Suite 3C
Cortland, NY 13045-3049
Phone (607) 597-9282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R053483-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191628800000",
    "number": "1477662252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAIN ST",
            "address_2": "SUITE 202",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130456606",
            "telephone_number": "607-662-0209",
            "fax_number": "607-662-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAIN ST",
            "address_2": "SUITE 202",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130456606",
            "telephone_number": "607-662-0209",
            "fax_number": "607-662-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMLEY",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R053483-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.