NPIMap

Organization Active NPI

Life Solutions Psychotherapy LCSW PLLC

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1629245758
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R061158-1 Issued in NY
Legal business name
LIFE SOLUTIONS PSYCHOTHERAPY LCSW PLLC
Practice address
20 Arcampus Drive
Rochester, NY 14612
Phone
(585) 225-9720
Fax
(585) 225-6898
NPI assigned
May 8, 2008
Last updated
May 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Patricia L Kelsey, LCSW,CASACNPI 1730108226
Title
Certified Social Worker
Phone
(585) 225-9720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R061158-1 NY Primary

Addresses

Primary practice location

20 Arcampus Drive
Rochester, NY 14612

Mailing address

20 Arcampus Drive
Rochester, NY 14612
Phone (585) 225-9720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150415000418 NY Part B Supplier - Clinic/Group Practice 2860710233 Receives reassigned benefits from 16 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

20 Arcampus Dr
Rochester, NY 14612
Phone (585) 225-9720

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1629245758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ARCAMPUS DRIVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14612",
            "telephone_number": "585-225-9720",
            "fax_number": "585-225-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ARCAMPUS DRIVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14612",
            "telephone_number": "585-225-9720",
            "fax_number": "585-225-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOLUTIONS PSYCHOTHERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CERTIFIED SOCIAL WORKER",
        "authorized_official_telephone_number": "585-225-9720",
        "authorized_official_credential": "LCSW,CASAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R061158-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.