Individual provider Active NPI

Marjorie A Smith, LCSW

  • Social Worker
  • Rochester, NY
National Provider Identifier
1659405199
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
069666 Issued in NY
Practice address
2300 East Ave
Rochester, NY 14610-2564
Phone
(585) 484-0118
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 069666 NY Primary

Addresses

Primary practice location

2300 East Ave
Rochester, NY 14610-2564

Mailing address

28 Sleepy Holw
Rochester, NY 14624-4472
Phone (585) 451-2805

Other practice location 1

6539 Anthony Dr Ste A
Victor, NY 14564-1441
Phone (585) 398-8835

Other practice location 2

755 Jefferson Rd Ste 4A
Rochester, NY 14623-3270
Phone (585) 398-8835

Other practice location 3

28 Sleepy Holw
Rochester, NY 14624-4472
Phone (585) 451-2805

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
I20240207003415 NY Practitioner - Clinical Social Worker 2264875152 Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2300 E Ave
Suite 1
Rochester, NY 14610-2566
Phone (585) 451-2805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
069666NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1659405199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SLEEPY HOLW",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146244472",
            "telephone_number": "585-451-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102564",
            "telephone_number": "585-484-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6539 Anthony Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145641441",
            "country_code": "US",
            "telephone_number": "585-398-8835",
            "fax_number": "585-398-7376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Jefferson Rd Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146233270",
            "country_code": "US",
            "telephone_number": "585-398-8835",
            "fax_number": "585-398-7376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Sleepy Holw",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146244472",
            "country_code": "US",
            "telephone_number": "585-451-2805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARJORIE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-01-04",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "069666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.