Individual provider Active NPI

Ann Millet, LCSW

  • Clinical Social Worker
  • Liverpool, NY
National Provider Identifier
1689657330
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
058763 Issued in NY
Practice address
7555 Morgan Rd
Liverpool, NY 13090
Phone
(315) 412-9886
Fax
(315) 944-3001
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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 058763 NY Primary

Addresses

Primary practice location

7555 Morgan Rd
Liverpool, NY 13090

Mailing address

PO Box 2513
Liverpool, NY 13089-2513
Phone (315) 412-9886

Other identifiers 1

IdentifierTypeStateIssuer
02098800MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3359HIMDMedical Art Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Delconte Counseling LCSW PC PastSince Jan 28, 2024 Accepting new patients
Bright Path Center, Inc. Clinical PastSince Aug 1, 2005 Accepting new patients
The Summit Dental Group, PC Past Accepting new patients

Organizations & group practices 3

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1689657330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2513",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130892513",
            "telephone_number": "315-412-9886",
            "fax_number": "315-944-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 MORGAN RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13090",
            "telephone_number": "315-412-9886",
            "fax_number": "315-944-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLET",
        "first_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "058763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02098800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.