Individual provider Active NPI

Martha Buseckfischer, LCSW

  • Clinical Social Worker
  • Victor, NY
National Provider Identifier
1932961539
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083552-01 Issued in NY
Practice address
6539 Anthony Dr Ste a
Victor, NY 14564-1441
Phone
(585) 398-8835
Fax
(585) 398-7376
NPI assigned
Jan 29, 2024
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 083552-01 NY Primary

Addresses

Primary practice location

6539 Anthony Dr Ste a
Victor, NY 14564-1441

Mailing address

6539 Anthony Dr Ste a
Victor, NY 14564-1441
Phone (585) 398-8835

Other practice location 1

1160 Pittsford Victor Rd Ste F
Pittsford, NY 14534-3825
Phone (585) 398-8835

Other practice location 2

36 Robert Rd
Penfield, NY 14526
Phone (585) 259-5321

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
083552-01NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1932961539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6539 ANTHONY DR STE A",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641441",
            "telephone_number": "585-398-8835",
            "fax_number": "585-398-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6539 ANTHONY DR STE A",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641441",
            "telephone_number": "585-398-8835",
            "fax_number": "585-398-7376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Pittsford Victor Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Pittsford",
            "state": "NY",
            "postal_code": "145343825",
            "country_code": "US",
            "telephone_number": "585-398-8835",
            "fax_number": "585-398-7376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 Robert Rd",
            "address_purpose": "LOCATION",
            "city": "Penfield",
            "state": "NY",
            "postal_code": "14526",
            "country_code": "US",
            "telephone_number": "585-259-5321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSECKFISCHER",
        "first_name": "MARTHA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083552-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.