Active NPI
Michelle Graney, LCSW
- Clinical Social Worker
- Auburn, NY
National Provider Identifier
1942654801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089515
- Practice address
- 17 E Genesee St Ste 101
Auburn, NY 13021-4112 - Phone
- (315) 567-0630
- NPI assigned
- Apr 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089515 | NY | Primary |
Addresses
Primary practice location
17 E Genesee St Ste 101
Auburn, NY 13021-4112
Mailing address
17 Lansing St
Auburn, NY 13021-1983
Phone (315) 567-0455
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06325548 | Medicaid | NY | |
| 089515 | Other | NY | LCSW LICENSE |
| 099450 | Other | NY | LMSW LICENSE |
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75.68 of 100
- Quality
- 48.88
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 71.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089515 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients |
Locations
77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550
37 W Garden St
Ste 203
Auburn, NY 13021
Phone (315) 253-6257
17 E Genesee St
Ste 101
Auburn, NY 13021
Phone (315) 252-7434
17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011
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.
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
-
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1942654801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 LANSING ST",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211983",
"telephone_number": "315-567-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E GENESEE ST STE 101",
"city": "AUBURN",
"state": "NY",
"postal_code": "130214112",
"telephone_number": "315-567-0630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANEY",
"first_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-18",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "089515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06325548",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW LICENSE",
"identifier": "089515",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMSW LICENSE",
"identifier": "099450",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.