Active NPI
Nancy Ellen Hazel, LCSW
- Clinical Social Worker
- Cortland, NY
National Provider Identifier
1851629232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 082737-1
- Practice address
- 7 Clayton Ave
Cortland, NY 13045-2501 - Phone
- (607) 758-6100
- Fax
- (607) 758-6116
- NPI assigned
- Nov 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 082737-1 | NY | Primary |
Addresses
Primary practice location
7 Clayton Ave
Cortland, NY 13045-2501
Mailing address
7 Clayton Ave
Cortland, NY 13045-2501
Phone (607) 758-6100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821001579 | Other | NY | FIDELIS |
| 02997464 | Medicaid | NY | |
| 000158890 | Other | NY | EXCELLUS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 082737-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1851629232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CLAYTON AVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130452501",
"telephone_number": "607-758-6100",
"fax_number": "607-758-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CLAYTON AVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130452501",
"telephone_number": "607-758-6100",
"fax_number": "607-758-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZEL",
"first_name": "NANCY",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-24",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "082737-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "1821001579",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02997464",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "000158890",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.