Ann Marie Elizabeth Licausi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088145 Issued in NY

Practice address

5862 Forest Creek Dr
East Amherst, NY 14051-1963

Phone

(716) 228-1253

NPI assigned

Feb 2, 2022

Sex

Female

Sole proprietor

Yes

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

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.

• Focus Surgery PLLC

  • Surgery Physician
  • Williamsville, NY
  • NPI 1366190852

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1508519190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5862 FOREST CREEK DR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511963",
            "telephone_number": "716-228-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5862 FOREST CREEK DR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511963",
            "telephone_number": "716-228-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICAUSI",
        "first_name": "ANN MARIE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Sungchurl Lee, M.D.
• Jessica Lee, LMSW
• Lenahan Dermatology PLLC
• Mary Louise Lenahan, MD
• Margaret Lewis
• James Nelson Liemberger, D.D.S.
• Rynar Joss Lim-Zolczer, PMHNP-BC
• Claudienne Elizabeth Linville, PTA
• Diane R Lobdell
• Lola J. John-Roberts, DMD PC

• Clinical Social Worker in East Amherst, NY
• Providers in East Amherst, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.