Individual provider Active NPI

Steven Halady, LCSW

  • Clinical Social Worker
  • Kenmore, NY
National Provider Identifier
1811439888
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087629 Issued in NY
Practice address
2790 Delaware Ave
Kenmore, NY 14217-2704
Phone
(716) 400-7272
NPI assigned
Nov 8, 2016
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 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 087629 NY Primary

Addresses

Primary practice location

2790 Delaware Ave
Kenmore, NY 14217-2704

Mailing address

3020 Bailey Ave
Buffalo, NY 14215-2814
Phone (716) 831-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 29, 2025 through Sep 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087629NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1811439888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152814",
            "telephone_number": "716-831-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172704",
            "telephone_number": "716-400-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALADY",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-08",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

Verify at the official NPI Registry.