Active NPI
Marjorie A Smith, LCSW
- Social Worker
- Rochester, NY
National Provider Identifier
1659405199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 069666
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 069666 | NY | MD | Social 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.