Individual provider Active NPI

Cynthia Faye Consaul, LCSW-R

  • Clinical Social Worker
  • Scottsville, NY
National Provider Identifier
1609030576
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R047233-1 Issued in NY
Practice address
640 North Rd
Scottsville, NY 14546-1131
Phone
(585) 503-1281
Fax
(855) 485-1189
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 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 R047233-1 NY Primary

Addresses

Primary practice location

640 North Rd
Scottsville, NY 14546-1131

Mailing address

640 North Rd
Scottsville, NY 14546-1131
Phone (585) 503-1281

Other practice location 1

2709 Genesee St
Utica, NY 13501-6222
Phone (585) 867-0054

Other identifiers 1

IdentifierTypeStateIssuer
03080393MedicaidNY

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
I20141219001596 NY Practitioner - Clinical Social Worker 2365765500 Reassigns benefits to 1 organization
Practice locations: Scottsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Solutions Psychotherapy LCSW PLLCGroup PAC ID 2860710233, 3 clinicians

Practice addresses (Care Compare)

20 Arcampus Dr
Rochester, NY 14612-3630
Phone (585) 225-9720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047233NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Faye Consaul LCSW PLLC Clinical Current Accepting new patients
Touchstone Counseling Services, LCSW, PLLC Clinical Current Accepting new patients
Cynthia Consaul LCSW-R Clinical CurrentSince Jun 1, 2021 Accepting new patients

Locations

2709 Genesee St
Utica, NY 13501
Phone (315) 797-1908

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1609030576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 NORTH RD",
            "city": "SCOTTSVILLE",
            "state": "NY",
            "postal_code": "145461131",
            "telephone_number": "585-503-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 NORTH RD",
            "city": "SCOTTSVILLE",
            "state": "NY",
            "postal_code": "145461131",
            "telephone_number": "585-503-1281",
            "fax_number": "855-485-1189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2709 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135016222",
            "country_code": "US",
            "telephone_number": "585-867-0054",
            "fax_number": "855-485-1189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONSAUL",
        "first_name": "CYNTHIA",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R047233-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03080393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsville, NY

Sources for this page

Verify at the official NPI Registry.