Individual provider Active NPI

Julie M Misiano, LCSW

  • Social Worker
  • Cairo, NY
National Provider Identifier
1912913369
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R042352 Issued in NY
Practice address
905 Greene Co Office BLDG
Greene Co Mental Health Clinic
Cairo, NY 12413-2868
Phone
(518) 622-9163
Fax
(518) 622-8592
NPI assigned
Jul 31, 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
Social Worker 104100000X R042352 NY Primary

Addresses

Primary practice location

905 Greene Co Office BLDG
Greene Co Mental Health Clinic
Cairo, NY 12413-2868

Mailing address

905 Greene Co Office BLDG
Greene Co Mental Health Clinic
Cairo, NY 12413-2868
Phone (518) 622-9163

Other identifiers 1

IdentifierTypeStateIssuer
R042352OtherNYLICENSE NO

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
I20160502000816 NY Practitioner - Clinical Social Worker 3375842057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of GreeneGroup PAC ID 9133038219, 18 clinicians

Practice addresses (Care Compare)

905 Greene County Office BLDG
Cairo, NY 12413-2868
Phone (518) 622-9163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R042352NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Greene CurrentSince Feb 26, 2016 Accepting new patients
County of Greene CurrentSince Feb 26, 2016 Accepting new patients

Locations

905 Greene County Office Bldg
Cairo, NY 12413

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912913369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 GREENE CO OFFICE BLDG",
            "address_2": "GREENE CO MENTAL HEALTH CLINIC",
            "city": "CAIRO",
            "state": "NY",
            "postal_code": "124132868",
            "telephone_number": "518-622-9163",
            "fax_number": "518-622-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 GREENE CO OFFICE BLDG",
            "address_2": "GREENE CO MENTAL HEALTH CLINIC",
            "city": "CAIRO",
            "state": "NY",
            "postal_code": "124132868",
            "telephone_number": "518-622-9163",
            "fax_number": "518-622-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISIANO",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R042352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "R042352",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, NY

Sources for this page

Verify at the official NPI Registry.