Individual provider Active NPI

Susan Lee Gaskin-Welch, LMSW

  • Clinical Social Worker
  • Batavia, NY
National Provider Identifier
1497808729
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072805-1 Issued in NY
Practice address
5130 E Main Street Rd
Ste 2
Batavia, NY 14020-3433
Phone
(585) 344-1421
Fax
(585) 344-3047
NPI assigned
Jan 19, 2007
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
Clinical Social Worker 1041C0700X 072805-1 NY Primary

Addresses

Primary practice location

5130 E Main Street Rd
Ste 2
Batavia, NY 14020-3433

Mailing address

5130 E Main Street Rd
Genesee County Mental Health Services
Batavia, NY 14020-3433
Phone (585) 344-1421

Other identifiers 1

IdentifierTypeStateIssuer
072805-1OtherNYLICENSED SOCIAL WORKER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
072805-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Genesee County Treasurer PastSince Mar 2, 1998 Accepting new patients
County of Genesee County Treasurer 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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497808729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 E MAIN STREET RD",
            "address_2": "GENESEE COUNTY MENTAL HEALTH SERVICES",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203433",
            "telephone_number": "585-344-1421",
            "fax_number": "585-344-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 E MAIN STREET RD",
            "address_2": "STE 2",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203433",
            "telephone_number": "585-344-1421",
            "fax_number": "585-344-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKIN-WELCH",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072805-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORKER",
            "identifier": "072805-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.