Individual provider Active NPI

Bridget E Pietrantone, LCSW

  • Clinical Social Worker
  • Elma, NY
National Provider Identifier
1912001306
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069880-1 Issued in NY
Practice address
960 West Maple Court
Elma, NY 14059
Phone
(716) 805-1555
Fax
(716) 805-1444
NPI assigned
Sep 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 069880-1 NY Primary

Addresses

Primary practice location

960 West Maple Court
Elma, NY 14059

Mailing address

11647 East Ave
Marilla, NY 14102-9725
Phone (716) 652-3779

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
069880-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Adult Services-Inc. PastSince Oct 1, 2006 Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912001306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11647 EAST AVE",
            "city": "MARILLA",
            "state": "NY",
            "postal_code": "141029725",
            "telephone_number": "716-652-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 WEST MAPLE COURT",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "14059",
            "telephone_number": "716-805-1555",
            "fax_number": "716-805-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRANTONE",
        "first_name": "BRIDGET",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069880-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.