Individual provider Active NPI

Jan B Tewes, MSW

  • Clinical Social Worker
  • Cazenovia, NY
National Provider Identifier
1790846939
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R050904 Issued in NY
Practice address
3258 Route 20
Cazenovia, NY 13035-8408
Phone
(315) 430-2173
NPI assigned
Dec 12, 2006
Last updated
Jun 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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 R050904 NY Primary

Addresses

Primary practice location

3258 Route 20
Cazenovia, NY 13035-8408

Mailing address

PO Box 46
Atwell Mills Annex
Cazenovia, NY 13035-0046
Phone (315) 430-2173

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
I20100303000695 NY Practitioner - Clinical Social Worker 7214072131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3687 N Lake Rd
Erieville, NY 13061-3106
Phone (315) 430-2173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R050904NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jan Tewes,LCSW,PLLC Clinical CurrentSince Jan 6, 2010 Accepting new patients
Bright Path Center, Inc. Clinical PastSince Aug 1, 2005 Accepting new patients
Delconte Counseling LCSW PC PastSince Jan 28, 2024 Accepting new patients

Organizations & group practices 3

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1790846939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "address_2": "ATWELL MILLS ANNEX",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130350046",
            "telephone_number": "315-430-2173",
            "fax_number": "315-655-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3258 ROUTE 20",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130358408",
            "telephone_number": "315-430-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWES",
        "first_name": "JAN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R050904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cazenovia, NY

Sources for this page

Verify at the official NPI Registry.