Individual provider Active NPI

Paul Nicholas Hurley, LCSW

  • Clinical Social Worker
  • Lackawanna, NY
National Provider Identifier
1548857857
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091426 Issued in NY
Practice address
790 Ridge Rd
Lackawanna, NY 14218-1629
Phone
(716) 828-9500
NPI assigned
Dec 22, 2020
Last updated
Sep 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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 091426 NY Primary

Addresses

Primary practice location

790 Ridge Rd
Lackawanna, NY 14218-1629

Mailing address

790 Ridge Rd
Lackawanna, NY 14218-1629
Phone (716) 828-7550

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
I20211210001646 NY Practitioner - Clinical Social Worker 1254721970 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMSC Az LLCGroup PAC ID 4385929173, 130 clinicians
Senior Care Therapy LCSW of New York PLLCGroup PAC ID 7113269010, 63 clinicians

Practice addresses (Care Compare)

Cambria Heights, NY 11411
Phone (718) 419-3416

14415 68TH Rd
Flushing, NY 11367-1330
Phone (973) 264-0023

790 Ridge Rd
Lackawanna, NY 14218-1629
Phone (716) 828-9699

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
80.43
Improvement activities
40
Cost
82.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091426NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of Ny PC CurrentSince Feb 20, 2022 Accepting new patients
BMSC Az LLC Clinical CurrentSince Aug 25, 2022 Accepting new patients
Baker Hall CurrentSince May 17, 2023 Accepting new patients
Senior Care Therapy LCSW of New York PLLC Clinical CurrentSince Nov 1, 2025 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 896-7160

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

7810 164th St
Fresh Meadows, NY 11366
Phone (516) 641-8482

790 Ridge Rd
Lackawanna, NY 14218
Phone (716) 828-9334

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

10 Claremont Ave
Mount Vernon, NY 10550
Phone (718) 459-0700

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

45 Montcalm St
Ticonderoga, NY 12883
Phone (516) 585-6230

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1548857857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181629",
            "telephone_number": "716-828-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181629",
            "telephone_number": "716-828-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "PAUL",
        "middle_name": "NICHOLAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackawanna, NY

Sources for this page

Verify at the official NPI Registry.