Individual provider Active NPI

Steven A Dewater, LMSW

  • Social Worker
  • Elmira, NY
National Provider Identifier
1780180430
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
102286 Issued in NY
Practice address
963 Walnut St
Elmira, NY 14901-1831
Phone
(607) 734-1447
NPI assigned
Apr 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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 102286 NY Primary

Addresses

Primary practice location

963 Walnut St
Elmira, NY 14901-1831

Mailing address

108 Biltmore Dr Apt D
Horseheads, NY 14845-1892
Phone (607) 215-1917

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
I20180711002555 NY Practitioner - Clinical Social Worker 3375899982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

963 Walnut St
Elmira, NY 14901-1831
Phone (607) 734-1447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102286NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Social Work and Counseling Services of the Finger Lakes CurrentSince Jul 1, 2018 Accepting new patients

Locations

963 Walnut St
Elmira, NY 14901
Phone (607) 734-1447

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1780180430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BILTMORE DR APT D",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148451892",
            "telephone_number": "607-215-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 WALNUT ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011831",
            "telephone_number": "607-734-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWATER",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.