Individual provider Active NPI

Kelly M McHargue, LMSW

  • Social Worker
  • Rochester, NY
National Provider Identifier
1669957577
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
104266 Issued in NY
Practice address
30 Hart St
Rochester, NY 14605-1122
Phone
(585) 683-9426
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 104266 NY Primary

Addresses

Primary practice location

30 Hart St
Rochester, NY 14605-1122

Mailing address

93 Maxwell Ave
Rochester, NY 14619-2058
Phone (585) 683-9426

Other practice location 1

14 Mark St
Rochester, NY 14605-1331
Phone (585) 471-6219

Other practice location 2

1290 Lake Ave
Rochester, NY 14613-1230
Phone (585) 672-1280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104266NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1669957577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 MAXWELL AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146192058",
            "telephone_number": "585-683-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HART ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146051122",
            "telephone_number": "585-683-9426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Mark St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146051331",
            "country_code": "US",
            "telephone_number": "585-471-6219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1290 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146131230",
            "country_code": "US",
            "telephone_number": "585-672-1280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCHARGUE",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "104266",
            "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 Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.