Active NPI
Tammy Pauley, LCSW-R
- Clinical Social Worker
- Springville, NY
National Provider Identifier
1629002274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 073580
- Practice address
- 584 East Main Street
Springville, NY 14141-1437 - Phone
- (716) 592-4286
- Fax
- (716) 592-4287
- NPI assigned
- Jul 10, 2006
- Last updated
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 073580 | NY | Primary |
Addresses
Primary practice location
584 East Main Street
Springville, NY 14141-1437
Mailing address
3533 N Buffalo St
Orchard Park, NY 14127-1933
Phone (716) 592-4286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03128732 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060310000038 | NY | Practitioner - Clinical Social Worker | 1759398100 | Practice locations: Orchard Park, NY; Springville, 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
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
584 E Main St
Springville, NY 14141-1437
Phone (716) 592-4286
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073580 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1629002274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 N BUFFALO ST",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271933",
"telephone_number": "716-592-4286",
"fax_number": "716-592-4287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 EAST MAIN STREET",
"city": "SPRINGVILLE",
"state": "NY",
"postal_code": "141411437",
"telephone_number": "716-592-4286",
"fax_number": "716-592-4287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULEY",
"first_name": "TAMMY",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "073580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03128732",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.