Individual provider Active NPI

Scott P. Pranis, LMSW

  • Clinical Social Worker
  • Seneca Falls, NY
National Provider Identifier
1730403460
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077019 Issued in NY
Practice address
12 N Park St
Second Floor
Seneca Falls, NY 13148-1437
Phone
(315) 568-9412
Fax
(315) 568-6718
NPI assigned
Mar 24, 2010
Last updated
Mar 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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 077019 NY Primary

Addresses

Primary practice location

12 N Park St
Second Floor
Seneca Falls, NY 13148-1437

Mailing address

12 N Park St
2ND Floor
Seneca Falls, NY 13148-1437
Phone (315) 568-9412

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
I20200129001646 NY Order and Referring Only - Clinical Social Worker 0244666923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077019NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elmira Psychiatric Center Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1730403460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N PARK ST",
            "address_2": "2ND FLOOR",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131481437",
            "telephone_number": "315-568-9412",
            "fax_number": "315-568-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N PARK ST",
            "address_2": "SECOND FLOOR",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131481437",
            "telephone_number": "315-568-9412",
            "fax_number": "315-568-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANIS",
        "first_name": "SCOTT",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca Falls, NY

Sources for this page

Verify at the official NPI Registry.