Elaine Koeppel, LCSW R031940

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R031940 Issued in NY

Practice address

884 Brighton Rd
Tonawanda, NY 14150-8169

Phone

(716) 836-9460

Fax

(716) 836-9462

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

State University of New York at Buffalo School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1972679231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 MCKINLEY AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172437",
            "telephone_number": "716-876-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 BRIGHTON RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508169",
            "telephone_number": "716-836-9460",
            "fax_number": "716-836-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPPEL",
        "first_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW R031940",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R031940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00R031940",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell G Knapp, M.D.
• Knickerbocker Dialysis Inc
• Samantha Knight, LPN
• Kimber Knowlton, LMSW
• Ashley Koelle
• Lindsay Koester
• Kathryn Kolesar
• Richard Barry Komm, OPTICIAN
• Marina Korogoda, PHARMD
• Nicole Kostrzebski, B.S., PHARM.D., RPH

• Clinical Social Worker in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.

Verify at the official NPI Registry.