Active NPI
Anne Carroll Bender, LCSW
- Clinical Social Worker
- Massena, NY
National Provider Identifier
1891828679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R039538-1
- Practice address
- 23 Baldwin St
Massena, NY 13662-1035 - Phone
- (315) 764-0321
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R039538-01 | NY | |
| School Social Worker | 1041S0200X | NY | ||
| Clinical Social Worker | 1041C0700X | R039538-1 | NY | Primary |
Addresses
Primary practice location
23 Baldwin St
Massena, NY 13662-1035
Mailing address
454 Willard Rd
Massena, NY 13662-3481
Phone (315) 705-7679
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14415 68TH Rd
Flushing, NY 11367-1330
Phone (973) 264-0023
4 Commerce LN
Canton, NY 13617-3739
Phone (315) 386-8191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R039538-01 | NY | MD | Clinical Social Worker |
| R039538-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Therapy LCSW of New York PLLC | Clinical | Current | Accepting new patients |
| United Cerebral Palsy Association of the North Country, Inc. | Current | Accepting new patients |
Locations
2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555
4 Commerce Ln
Canton, NY 13617
Phone (315) 386-1156
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.
-
- Clinical Social Worker
- Flushing, NY
- NPI 1932677168
-
- Federally Qualified Health Center (FQHC)
- Canton, NY
- NPI 1467432765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1891828679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 WILLARD RD",
"city": "MASSENA",
"state": "NY",
"postal_code": "136623481",
"telephone_number": "315-705-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 BALDWIN ST",
"city": "MASSENA",
"state": "NY",
"postal_code": "136621035",
"telephone_number": "315-764-0321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "ANNE",
"middle_name": "CARROLL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R039538-01",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R039538-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massena, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.