Individual provider Active NPI

Mari L Warfel, LCSW-R, ACSW

  • Mental Health Counselor
  • Leeds, NY
National Provider Identifier
1780734210
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
052197-1 Issued in NY
Practice address
128 Old Story Road
Leeds, NY 12451-1216
Phone
(518) 618-8868
NPI assigned
Jan 10, 2007
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 052197-1 NY Primary

Addresses

Primary practice location

128 Old Story Road
Leeds, NY 12451-1216

Mailing address

128 Old Story Road
Leeds, NY 12451-1216
Phone (518) 618-8868

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
I20130109000057 NY Practitioner - Clinical Social Worker 9931352648 Practice locations: Leeds, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

128 Old Story Rd
Leeds, NY 12451-1216
Phone (518) 618-8868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052197-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1780734210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 OLD STORY ROAD",
            "city": "LEEDS",
            "state": "NY",
            "postal_code": "124511216",
            "telephone_number": "518-618-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 OLD STORY ROAD",
            "city": "LEEDS",
            "state": "NY",
            "postal_code": "124511216",
            "telephone_number": "518-618-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARFEL",
        "first_name": "MARI",
        "middle_name": "L",
        "credential": "LCSW-R, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "052197-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leeds, NY

Sources for this page

Verify at the official NPI Registry.