Individual provider Active NPI

Joan Bush Lemery, LCSWR

  • Clinical Social Worker
  • Queensbury, NY
National Provider Identifier
1912924770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R049141 Issued in NY
Practice address
597 Bay Rd
Queensbury, NY 12804-1444
Phone
(518) 793-1160
Fax
(518) 793-1255
NPI assigned
Jul 17, 2006
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 R049141 NY Primary

Addresses

Primary practice location

597 Bay Rd
Queensbury, NY 12804-1444

Mailing address

597 Bay Rd
Queensbury, NY 12804-1444
Phone (518) 793-1160

Other identifiers 1

IdentifierTypeStateIssuer
01733119MedicaidNY

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
R049141NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Koock E Jung MD PC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912924770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 BAY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041444",
            "telephone_number": "518-793-1160",
            "fax_number": "518-793-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 BAY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041444",
            "telephone_number": "518-793-1160",
            "fax_number": "518-793-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMERY",
        "first_name": "JOAN",
        "middle_name": "BUSH",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R049141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01733119",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, 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.