Individual provider Active NPI

Marianne S. Passmore, L.C.S.W. R

  • Counseling Psychologist
  • Elmira, NY
National Provider Identifier
1629398839
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
RO337001 Issued in NY
Practice address
100 N Main St
Suite 214
Elmira, NY 14901-2901
Phone
(607) 737-4040
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X RO337001 NY Primary

Addresses

Primary practice location

100 N Main St
Suite 214
Elmira, NY 14901-2901

Mailing address

100 N Main St
Suite 214
Elmira, NY 14901-2901
Phone (607) 737-4040

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
I20180202001950 NY Practitioner - Clinical Social Worker 5597025999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Pathways, Inc.Group PAC ID 7416329008, 18 clinicians

Practice addresses (Care Compare)

77 E 1St St
Corning, NY 14830-2715
Phone (607) 936-1771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO337001NYMDCounseling Psychologist
033700NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways, Inc. CurrentSince Dec 13, 2017 Accepting new patients
Erwin Psychiatric NP PLLC CurrentSince Mar 24, 2024 Accepting new patients
Milissa Cerio PastSince Oct 23, 2017 Accepting new patients

Locations

33 Denison Pkwy W
Corning, NY 14830
Phone (607) 937-3200

77 E 1st St
Corning, NY 14830
Phone (607) 936-1771

323 N Tioga St
Ithaca, NY 14850
Phone (607) 936-1771

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1629398839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "address_2": "SUITE 214",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012901",
            "telephone_number": "607-737-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "address_2": "SUITE 214",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012901",
            "telephone_number": "607-737-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSMORE",
        "first_name": "MARIANNE",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W. R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "RO337001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.