Individual provider Active NPI

Mary Lafountain, LCSW

  • School Social Worker
  • Schenectady, NY
National Provider Identifier
1821546185
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
081315-1 Issued in NY
Practice address
108 Education Dr
Schenectady, NY 12303-1238
Phone
(518) 881-3843
NPI assigned
Sep 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 081315-1 NY Primary

Addresses

Primary practice location

108 Education Dr
Schenectady, NY 12303-1238

Mailing address

1918 Oakland Ave
Schenectady, NY 12308-1321
Phone (518) 225-3240

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
I20240304000312 NY Practitioner - Clinical Social Worker 1658716444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1509 Union St
Schenectady, NY 12309-6003
Phone (518) 257-9131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081315-1NYMDAdult Development & Aging Psychologist
081315NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Lafountain LCSW PLLC CurrentSince Dec 12, 2023 Accepting new patients
Mary Carlson, LCSW, PLLC Past Accepting new patients

Locations

1509 Union St
Schenectady, NY 12309
Phone (518) 257-9131

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": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1821546185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 OAKLAND AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123081321",
            "telephone_number": "518-225-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 EDUCATION DR",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123031238",
            "telephone_number": "518-881-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFOUNTAIN",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "081315-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.