Individual provider Active NPI

Nancy S Phelps, LCSW

  • Social Worker
  • Webster, NY
National Provider Identifier
1740227511
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R0400821 Issued in NY
Practice address
45 Webster Commons Blvd
Suite 200
Webster, NY 14580
Phone
(585) 872-9050
Fax
(585) 872-2474
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 R0400821 NY Primary

Addresses

Primary practice location

45 Webster Commons Blvd
Suite 200
Webster, NY 14580

Mailing address

24 Stone Island la
Penfield, NY 14526
Phone (585) 387-8924

Other identifiers 2

IdentifierTypeStateIssuer
MDH047OtherPREFERRED CARE
7349317OtherAETNA

Other names 1

  • Nancy Klein Former 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
I20101228000475 NY Practitioner - Clinical Social Worker 1355539834 Practice locations: Webster, NY; Penfield, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24 Stone Island LN
Penfield, NY 14526-1018
Phone (585) 872-9050

45 Webster Commons Blvd
Suite 200
Webster, NY 14580-3813
Phone (585) 872-9050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0400821NYMDSocial Worker
040082NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740227511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 STONE ISLAND LA",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "14526",
            "telephone_number": "585-387-8924",
            "fax_number": "585-872-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WEBSTER COMMONS BLVD",
            "address_2": "SUITE 200",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "14580",
            "telephone_number": "585-872-9050",
            "fax_number": "585-872-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "NANCY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0400821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDH047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7349317",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "KLEIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Webster, NY

Sources for this page

Verify at the official NPI Registry.