Active NPI
Mary Anne Scollan, LCSW
- Clinical Social Worker
- Rochester, NY
National Provider Identifier
1548240708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R048144
- Practice address
- 2290 East Ave
Rochester, NY 14610-2518 - Phone
- (585) 261-6979
- NPI assigned
- Jan 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R048144 | NY | Primary |
Addresses
Primary practice location
2290 East Ave
Rochester, NY 14610-2518
Mailing address
2290 East Ave
Rochester, NY 14610-2518
Phone (585) 261-6979
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010048144 | Other | NY | BLUE CHOICE/RIPA |
| 110642 | Other | NY | PREFERRED CARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R048144 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1548240708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 EAST AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146102518",
"telephone_number": "585-261-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 EAST AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146102518",
"telephone_number": "585-261-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOLLAN",
"first_name": "MARY",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-21",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R048144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE/RIPA",
"identifier": "P010048144",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "110642",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.