Individual provider Active NPI

Patricia Gillen

  • Clinical Social Worker
  • West Seneca, NY
National Provider Identifier
1992718043
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074944-1 Issued in NY
Practice address
40 Gardenville Pkwy Ste 236
West Seneca, NY 14224-1387
Phone
(716) 604-7505
Fax
(166) 682-5707
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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 074944-1 NY Primary

Addresses

Primary practice location

40 Gardenville Pkwy Ste 236
West Seneca, NY 14224-1387

Mailing address

40 Gardenville Pkwy Ste 236
West Seneca, NY 14224-1387
Phone (716) 604-7505

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
I20070419000173 NY Practitioner - Clinical Social Worker 7719082759 Practice locations: Depew, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5270 Transit Rd
Depew, NY 14043-4336
Phone (716) 604-7505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074944-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Chiropractic PC 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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1992718043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GARDENVILLE PKWY STE 236",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241387",
            "telephone_number": "716-604-7505",
            "fax_number": "716-668-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GARDENVILLE PKWY STE 236",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241387",
            "telephone_number": "716-604-7505",
            "fax_number": "166-682-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEN",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074944-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.