Kelesey Wage

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3019 County Complex Dr
Canandaigua, NY 14424-9505

Phone

(585) 396-4363

NPI assigned

Sep 5, 2017

Sex

Female

Sole proprietor

No

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

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of WayneGroup PAC ID 8921919994, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Wayne

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lyons, NY
  • NPI 1003824855
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1629596119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 COUNTY COMPLEX DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 COUNTY COMPLEX DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249505",
            "telephone_number": "585-396-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGE",
        "first_name": "KELESEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Dominic Vitticore, M.D.
• Gregory Voci III, DDS
• Amy Nageldinger Vogan, RNFA
• Marsha Vonrhedey
• Jana L Wachsler, PSYD
• April Rowley Waite, RPH
• Melissa Kay Waite, LMSW
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1673)
• Wal-Mart Stores East, LP (Vision Center 30-1673)
• Danielle Lynne Waldron, DPT

• Social Worker in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.

Verify at the official NPI Registry.