Individual provider Active NPI

Julie Ann Haase-Smith, LCSW-R

  • Clinical Social Worker
  • Amherst, NY
National Provider Identifier
1609978568
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080800 Issued in NY
Practice address
4476 Main St Ste 201
Amherst, NY 14226-4463
Phone
(716) 512-5279
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 063934-1 NY
Clinical Social Worker 1041C0700X 080800 NY Primary

Addresses

Primary practice location

4476 Main St Ste 201
Amherst, NY 14226-4463

Mailing address

4476 Main St Ste 201
Amherst, NY 14226-4463
Phone (716) 512-5279

Other practice location 1

800 Hertel Ave Ste 101
Buffalo, NY 14207-1906
Phone (716) 566-5050

Other identifiers 2

IdentifierTypeStateIssuer
04355226MedicaidNY
01465154MedicaidNY

Other names 1

  • Julie Ann Haase Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131023000822 NY Practitioner - Clinical Social Worker 6901882349
I20250327000112 NY Practitioner - Clinical Social Worker 6901882349 Practice locations: Amherst, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4476 Main St
Suite 201
Amherst, NY 14226-4463
Phone (716) 512-5279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
063934-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
People Inc. CurrentSince Jul 21, 2024 Accepting new patients
Ozark Guidance Center, Inc PastSince May 25, 2021 Accepting new patients

Locations

800 Hertel Ave
Ste 104
Buffalo, NY 14207

800 Hertel Ave
#101
Buffalo, NY 14207
Phone (716) 566-5007

800 Hertel Ave
Ste 101
Buffalo, NY 14207
Phone (716) 566-5007

2128 Elmwood Ave
Buffalo, NY 14207
Phone (716) 874-4500

1219 N Forest Rd
Williamsville, NY 14221
Phone (716) 634-8152

Organizations & group practices 2

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1609978568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4476 MAIN ST STE 201",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264463",
            "telephone_number": "716-512-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4476 MAIN ST STE 201",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264463",
            "telephone_number": "716-512-5279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Hertel Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142071906",
            "country_code": "US",
            "telephone_number": "716-566-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAASE-SMITH",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "063934-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04355226",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01465154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "HAASE",
            "middle_name": "ANN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.