Individual provider Active NPI

Mary Creel Webb, LCSWR

  • Social Worker
  • Niagara Falls, NY
National Provider Identifier
1730239443
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R0493451 Issued in NY
Practice address
1001 Eleventh Street
Trott Access Center
Niagara Falls, NY 14301
Phone
(716) 278-1940
Fax
(716) 278-1943
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R0493451 NY Primary

Addresses

Primary practice location

1001 Eleventh Street
Trott Access Center
Niagara Falls, NY 14301

Mailing address

1001 Eleventh Street
Trott Access Center
Niagara Falls, NY 14301
Phone (716) 278-1940

Other identifiers 1

IdentifierTypeStateIssuer
000526538002OtherBCBS

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
I20091117000200 NY Practitioner - Clinical Social Worker 6204974918 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0493451NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Niagara CurrentSince Apr 1, 2011 Accepting new patients

Locations

5467 Upper Mountain Rd
#200
Lockport, NY 14094
Phone (716) 439-7400

1001 11th St
Fl 3
Niagara Falls, NY 14301
Phone (716) 278-1900

1001 11th St
Niagara Falls, NY 14301
Phone (716) 278-1940

Organizations & group practices 2

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730239443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ELEVENTH STREET",
            "address_2": "TROTT ACCESS CENTER",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14301",
            "telephone_number": "716-278-1940",
            "fax_number": "716-278-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ELEVENTH STREET",
            "address_2": "TROTT ACCESS CENTER",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14301",
            "telephone_number": "716-278-1940",
            "fax_number": "716-278-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "MARY",
        "middle_name": "CREEL",
        "name_prefix": "Mrs.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0493451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000526538002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.