Individual provider Active NPI

Stephanie E Labarge, LCSW

  • Clinical Social Worker
  • Canandaigua, NY
National Provider Identifier
1619461050
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092542 Issued in NY
Practice address
35 North St
Canandaigua, NY 14424-1075
Phone
(585) 394-0530
NPI assigned
Jun 19, 2018
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Social Worker 104100000X 092542 NY
Clinical Social Worker 1041C0700X 092542 NY Primary

Addresses

Primary practice location

35 North St
Canandaigua, NY 14424-1075

Mailing address

35 North St
Canandaigua, NY 14424-1075
Phone (585) 394-0530

Other practice location 1

2 Coulter Road
North Entrance
Clifton Springs, NY 14432
Phone (315) 462-1050

Other practice location 2

3180 West St
Canandaigua, NY 14424-1722
Phone (585) 394-1442 ext. 317

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
I20220517000989 NY Practitioner - Clinical Social Worker 0547647323 Reassigns benefits to 1 organization
Practice locations: Canandaigua, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians

Practice addresses (Care Compare)

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711

3180 W St
Canandaigua, NY 14424-1722
Phone 5853941442317

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092542NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton Springs Sanitarium Co CurrentSince Feb 5, 2022 Accepting new patients

Locations

35 North St
Canandaigua, NY 14424
Phone (585) 349-0530

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1619461050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NORTH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241075",
            "telephone_number": "585-394-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NORTH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241075",
            "telephone_number": "585-394-0530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Coulter Road",
            "address_2": "North Entrance",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "14432",
            "country_code": "US",
            "telephone_number": "315-462-1050",
            "fax_number": "315-462-0145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3180 West St",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144241722",
            "country_code": "US",
            "telephone_number": "585-394-1442 x317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABARGE",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092542",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.