Mary Kathryn Bellizia, LCSW, CASAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

064528-01 Issued in NY

Practice address

100 N Main St
Suite 214
Elmira, NY 14901-2901

Phone

(607) 737-4040

Fax

(607) 734-0774

NPI assigned

Feb 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Milissa Cerio

  • Social Worker
  • Elmira, NY
  • NPI 1548479843
  NPD (past)
• Interventional Pain & Spine Specialists, PLLC

  • Pain Medicine Physician
  • Chester, VA
  • NPI 1275834814
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689717019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "address_2": "SUITE 214",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012901",
            "telephone_number": "607-737-4040",
            "fax_number": "607-734-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "address_2": "SUITE 214",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012901",
            "telephone_number": "607-737-4040",
            "fax_number": "607-734-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIZIA",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "064528-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Bedell
• Jason Bednarski, PT
• Nia Lauren Been, MSW
• Hannah Bell, OTR/L
• Jeremy S Bellinger, NP
• Diego Andres Bello, MD
• Ronald M. Bellohusen, D.M.D.
• Kimberly A. Benjamin, LPN
• Bryan Andrew Bennett, MD
• Georgette Bennett

• Social Worker in Elmira, NY
• Providers in Elmira, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.