Individual provider Active NPI

Mitchell J. Lurye, LCSW-R

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1619107679
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
031120 Issued in NY
Practice address
274 Goodman St N
Suite B283
Rochester, NY 14607-1154
Phone
(585) 217-6319
NPI assigned
Jul 23, 2009
Last updated
Apr 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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 031120 NY Primary

Addresses

Primary practice location

274 Goodman St N
Suite B283
Rochester, NY 14607-1154

Mailing address

274 Goodman St N
Suite B283
Rochester, NY 14607-1154
Phone (585) 217-6319

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
I20090807000528 NY Practitioner - Clinical Social Worker 5698828614 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031120NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell J Lurye,Lcswr.LLC CurrentSince May 23, 2018 Accepting new patients

Organizations & group practices 1

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1619107679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 GOODMAN ST N",
            "address_2": "SUITE B283",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071154",
            "telephone_number": "585-217-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 GOODMAN ST N",
            "address_2": "SUITE B283",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071154",
            "telephone_number": "585-217-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURYE",
        "first_name": "MITCHELL",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "031120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.