Individual provider Active NPI

Rebecca Maher Cilley, LCSW

  • Clinical Social Worker
  • Saranac Lake, NY
National Provider Identifier
1790940443
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080459 Issued in NY
Practice address
70 Edgewood Rd
North Star Behavioral Health
Saranac Lake, NY 12983
Phone
(518) 891-5535
Fax
(518) 891-5851
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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 080459 NY Primary

Addresses

Primary practice location

70 Edgewood Rd
North Star Behavioral Health
Saranac Lake, NY 12983

Mailing address

PO Box 1270
Citizen Advocates
Saranac Lake, NY 12983
Phone (518) 354-4156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8478SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Fittness Associates LLC Past Accepting new patients
Carolina Spine LLC Past Accepting new patients
Franklin County Community Services Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1790940443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1270",
            "address_2": "CITIZEN ADVOCATES",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "12983",
            "telephone_number": "518-354-4156",
            "fax_number": "518-891-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 EDGEWOOD RD",
            "address_2": "NORTH STAR BEHAVIORAL HEALTH",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "12983",
            "telephone_number": "518-891-5535",
            "fax_number": "518-891-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CILLEY",
        "first_name": "REBECCA",
        "middle_name": "MAHER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.