Individual provider Active NPI

Mary Finkle, LCSWR

  • Clinical Social Worker
  • Utica, NY
National Provider Identifier
1760663082
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
058746 Issued in NY
Practice address
2709 Genesee St
Utica, NY 13501-6222
Phone
(315) 794-4601
NPI assigned
Nov 15, 2007
Last updated
Aug 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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 058746 NY Primary

Addresses

Primary practice location

2709 Genesee St
Utica, NY 13501-6222

Mailing address

1960 State Route 8
Clayville, NY 13322-1312
Phone (315) 839-5575

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
I20051114000830 NY Practitioner - Clinical Social Worker 3678592144 Practice locations: Utica, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
058746NYMDClinical Social Worker
58746NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Healthcare, PLLC CurrentSince May 1, 2018 Accepting new patients
Ca Occupational Therapies, LLC Past Accepting new patients
Human Technologies Past Accepting new patients
Human Technologies Past Accepting new patients

Locations

8289 Loop Rd
Baldwinsville, NY 13027
Phone (315) 452-0300

3300 James St
Ste 100
Syracuse, NY 13206
Phone (315) 671-2202

Organizations & group practices 4

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1760663082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 STATE ROUTE 8",
            "city": "CLAYVILLE",
            "state": "NY",
            "postal_code": "133221312",
            "telephone_number": "315-839-5575",
            "fax_number": "315-839-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016222",
            "telephone_number": "315-794-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKLE",
        "first_name": "MARY",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "058746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.