Individual provider Active NPI

Hilda Kay Loree-Pryor, LCSW-R, CASAC

  • Clinical Social Worker
  • Canandaigua, NY
National Provider Identifier
1720476591
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085014-R Issued in NY
Practice address
42 N Main St
Canandaigua, NY 14424
Phone
(585) 919-0014
Fax
(585) 393-0014
NPI assigned
Jan 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 085014-R NY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 26426 NY
Clinical Social Worker 1041C0700X 071955-1 NY

Addresses

Primary practice location

42 N Main St
Canandaigua, NY 14424

Mailing address

42 North Main Street
Canandaigua, NY 14424
Phone (585) 919-0014

Other practice location 1

493 S Main St Ofc 4
Canandaigua, NY 14424-2126
Phone (585) 568-9733

Other identifiers 1

IdentifierTypeStateIssuer
04889483MedicaidNY

Other names 1

  • H Kay Loree Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171124000001 NY Practitioner - Clinical Social Worker 4183981376 Practice locations: Canandaigua, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

493 S Main St
Canandaigua, NY 14424-2126
Phone (585) 393-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26426NYMDAddiction (Substance Use Disorder) Counselor
085014NYMDSocial Worker
071955-1NYMDClinical Social Worker
085014-RNYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hilda Kay Loree-Pryor, LCSW-R, Casac Clinical Current Accepting new patients

Locations

493 S Main St
Ste 4
Canandaigua, NY 14424
Phone (585) 393-1333

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": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1720476591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 NORTH MAIN STREET",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "14424",
            "telephone_number": "585-919-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "14424",
            "telephone_number": "585-919-0014",
            "fax_number": "585-393-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "493 S Main St Ofc 4",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144242126",
            "country_code": "US",
            "telephone_number": "585-568-9733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOREE-PRYOR",
        "first_name": "HILDA",
        "middle_name": "KAY",
        "credential": "LCSW-R, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085014-R",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "26426",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071955-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04889483",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "H",
            "last_name": "LOREE",
            "middle_name": "KAY",
            "credential": "LCSW-R, CASAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.