Active NPI
Sue B Olexenko, LCSWR
- Clinical Social Worker
- Buffalo, NY
National Provider Identifier
1720043680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R047691
- Practice address
- 2128 Elmwood Ave
Buffalo, NY 14207-1910 - Phone
- (716) 874-4500
- Fax
- (716) 874-8145
- NPI assigned
- Apr 20, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R047691 | NY | Primary |
Addresses
Primary practice location
2128 Elmwood Ave
Buffalo, NY 14207-1910
Mailing address
2128 Elmwood Ave
Buffalo, NY 14207-1910
Phone (716) 874-4500
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000526001001 | Other | FAMILY HEALTH PLUS | |
| 050730000006 | Other | FIDELIS FAMILY HEALTH PLS | |
| 000526001001 | Other | CHILD HEALTH PLUS | |
| 000526001001 | Other | COMM CARE MEDICAID MGD C | |
| 000526001001 | Other | HMO 100 | |
| 00011249905 | Other | ASO | |
| 000526001001 | Other | HEALTHLY NY | |
| 000526001001 | Other | BCBS WNY | |
| 000526001001 | Other | COMMUNITY BLUE STD HMO | |
| 000526001001 | Other | SECURE BLUE POS | |
| 000526001001 | Other | CB ADVANTAGE HMO | |
| 000526001001 | Other | SECURE BLUE PPO | |
| 000526001001 | Other | SECURE BLUE INDEMNITY | |
| 050730000006 | Other | FIDELIS CHILD HEALTH PLUS | |
| 000526001001 | Other | CB LABOR HEALTH HMO | |
| 000526001001 | Other | SENIOR BLUE HMO | |
| 050730000006 | Other | FIDELIS MEDICAID | |
| 01465154 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R047691 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720043680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 ELMWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142071910",
"telephone_number": "716-874-4500",
"fax_number": "716-874-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2128 ELMWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142071910",
"telephone_number": "716-874-4500",
"fax_number": "716-874-8145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLEXENKO",
"first_name": "SUE",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "LCSWR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R047691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY HEALTH PLUS",
"identifier": "000526001001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS FAMILY HEALTH PLS",
"identifier": "050730000006",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILD HEALTH PLUS",
"identifier": "000526001001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMM CARE MEDICAID MGD C",
"identifier": "000526001001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO 100",
"identifier": "000526001001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASO",
"identifier": "00011249905",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLY NY",
"identifier": "000526001001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WNY",
"identifier": "000526001001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE STD HMO",
"identifier": "000526001001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURE BLUE POS",
"identifier": "000526001001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CB ADVANTAGE HMO",
"identifier": "000526001001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURE BLUE PPO",
"identifier": "000526001001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURE BLUE INDEMNITY",
"identifier": "000526001001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CHILD HEALTH PLUS",
"identifier": "050730000006",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CB LABOR HEALTH HMO",
"identifier": "000526001001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR BLUE HMO",
"identifier": "000526001001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS MEDICAID",
"identifier": "050730000006",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01465154",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.