Individual provider Active NPI

Valerie Mostyn, LCSW

  • Clinical Social Worker
  • Brockport, NY
National Provider Identifier
1790224335
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098746 Issued in NY
Practice address
300 West Ave
Brockport, NY 14420-1118
Phone
(585) 637-3905
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 098746 NY Primary

Addresses

Primary practice location

300 West Ave
Brockport, NY 14420-1118

Mailing address

300 West Ave
Brockport, NY 14420-1118
Phone (585) 637-3905

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vmostyn@oochc.org

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
I20241203002550 NY Practitioner - Clinical Social Worker 8224563002 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098746NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Orchard Community Health Center Inc. CurrentSince Oct 30, 2024 Accepting new patients
Oak Orchard Community Health Center Inc CurrentSince Oct 30, 2024 Accepting new patients

Locations

14014 State Route 31
Albion, NY 14411
Phone (585) 589-3292

300 West Ave
Brockport, NY 14420
Phone (585) 637-3905

Organizations & group practices 2

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": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1790224335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201118",
            "telephone_number": "585-637-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201118",
            "telephone_number": "585-637-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTYN",
        "first_name": "VALERIE",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmostyn@oochc.org",
            "affiliation": "N",
            "address_1": "300 West Ave",
            "city": "Brockport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144201118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brockport, NY

Sources for this page

Verify at the official NPI Registry.