Individual provider Active NPI

Vincent Noble, LCSW

  • Clinical Social Worker
  • Jamestown, NY
National Provider Identifier
1609425503
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098658 Issued in NY
Practice address
200 E 3Rd St Ste 5
Jamestown, NY 14701-5433
Phone
(716) 661-8330
NPI assigned
Sep 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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 098658 NY Primary

Addresses

Primary practice location

200 E 3Rd St Ste 5
Jamestown, NY 14701-5433

Mailing address

2 Academy St RM 201
Mayville, NY 14757-1050
Phone (716) 753-4300

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
I20250903001685 NY Practitioner - Clinical Social Worker 0648771329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Chautauqua - a Mun CorpGroup PAC ID 1951380633, 23 clinicians

Practice addresses (Care Compare)

200 E 3Rd St
Suite 5
Jamestown, NY 14701-5433
Phone (716) 661-8330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098658NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Chautauqua - a Mun Corp CurrentSince Jun 23, 2025 Accepting new patients
County of Chautauqua - a Mun Corp CurrentSince Jun 23, 2025 Accepting new patients
Mid Erie PastSince Dec 1, 2020 Accepting new patients

Locations

319 Central Ave
Dunkirk, NY 14048
Phone (716) 363-3550

200 E 3rd St
Ste 5
Jamestown, NY 14701
Phone (716) 661-8330

2 Academy St
Rm 201
Mayville, NY 14757
Phone (716) 753-4104

3 N Erie St
Mayville, NY 14757

Organizations & group practices 3

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1609425503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ACADEMY ST RM 201",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147571050",
            "telephone_number": "716-753-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 3RD ST STE 5",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015433",
            "telephone_number": "716-661-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "VINCENT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.