Individual provider Active NPI

Megan A Emery

  • Clinical Social Worker
  • Plattsburgh, NY
National Provider Identifier
1477956803
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090214 Issued in NY
Practice address
8 Broad St
Plattsburgh, NY 12901-3420
Phone
(518) 825-1555
Fax
(518) 825-1550
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 72 092827 NY
Clinical Social Worker 1041C0700X 090214 NY Primary

Addresses

Primary practice location

8 Broad St
Plattsburgh, NY 12901-3420

Mailing address

8 Broad St
Plattsburgh, NY 12901-3420
Phone (518) 825-1555

Other names 1

  • Megan A Lombard Former name

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
I20201207002139 NY Practitioner - Clinical Social Worker 0840602363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Country Behavioral Medicine PLLCGroup PAC ID 2668744756, 22 clinicians

Practice addresses (Care Compare)

8 Broad St
Plattsburgh, NY 12901-3420
Phone (518) 825-1555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72 092827NYMDSocial Worker
090214NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services North, Inc. CurrentSince Oct 8, 2020 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Oct 8, 2020 Accepting new patients
North Country Behavioral Medicine PLLC CurrentSince Nov 1, 2022 Accepting new patients
Citizen Advocates, Inc PastSince Feb 21, 2005 Accepting new patients

Locations

2155 State Route 22B
Morrisonville, NY 12962
Phone (518) 562-3847

8 Broad St
Plattsburgh, NY 12901
Phone (518) 563-8880

22 US Oval
Ste 218
Plattsburgh, NY 12903
Phone (518) 534-9666

Organizations & group practices 4

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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1477956803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BROAD ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013420",
            "telephone_number": "518-825-1555",
            "fax_number": "518-825-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BROAD ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013420",
            "telephone_number": "518-825-1555",
            "fax_number": "518-825-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERY",
        "first_name": "MEGAN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72 092827",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "LOMBARD",
            "middle_name": "A",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.