Mary Ellen Lourey, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076608 Issued in NY

Practice address

5165 Jacksonville Rd
Trumansburg, NY 14886-9001

Phone

(607) 793-7127

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Schuyler County

  • Ambulance
  • Watkins Glen, NY
  • NPI 1205544012
  NPD (past)
• Schuyler County Mental Health

  • Clinical Social Worker
  • Watkins Glen, NY
  • NPI 1003869165
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1629093232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "JACKSONVILLE",
            "state": "NY",
            "postal_code": "148540275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 JACKSONVILLE RD",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869001",
            "telephone_number": "607-793-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUREY",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KPH Healthcare Services, Inc.
• David John Kuranda, MD
• Alan Palmer Leonard II, DC
• Jennifer Tucci Leroux, M.A., CCC-SLP
• Eric Lessinger, MD
• Cherilyn Mallory, LPN
• Geraldine Moore Manahan, M.S.W., L.C.S.W.
• Joyce Ann Marsh, LCSW
• Jamie Carpenter McCaffrey, LCSW
• Maura C McCauley, MD

• Clinical Social Worker in Trumansburg, NY
• Providers in Trumansburg, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.