Individual provider Active NPI

Constance Beth Lembaris, LCSW-R, RPT

  • Clinical Social Worker
  • Oswego, NY
National Provider Identifier
1669770103
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R030270-1 Issued in NY
Practice address
5 W Cayuga St
Oswego, NY 13126-2031
Phone
(315) 342-9255
Fax
(186) 632-3661
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R030270-1 NY Primary

Addresses

Primary practice location

5 W Cayuga St
Oswego, NY 13126-2031

Mailing address

5515 County Road 33
Canandaigua, NY 14424-9385
Phone (585) 233-9011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R030270-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Mental Health Counseling Services, PLLC Past Accepting new patients

Organizations & group practices 1

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": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1669770103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 COUNTY ROAD 33",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249385",
            "telephone_number": "585-233-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W CAYUGA ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262031",
            "telephone_number": "315-342-9255",
            "fax_number": "186-632-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMBARIS",
        "first_name": "CONSTANCE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R030270-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.