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ONTARIO COUNTY NPI 1003802190


NPI Information

NPI: 1003802190
Provider Name: ONTARIO COUNTY
Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY
ZIP 14424
Phone: (585) 396-4363
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ONTARIO COUNTY is a social worker in Canandaigua, NY. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. ONTARIO COUNTY NPI is 1003802190. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3019 COUNTY COMPLEX DR
CANANDAIGUA, NY
ZIP 14424-505
Phone: (585) 396-4363
Fax: (585) 396-4993

The provider's authorized official is Jessica Mitchell .
The authorized official title is Director and has the following contact phone number (585) 396-4363.

The enumeration date for this NPI number is 9/23/2005 and was last updated on 4/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist6879100ANEW YORKNo
2103TC0700XPsychologistClinical6879100ANEW YORKNo
3104100000XSocial Worker6879100ANEW YORKYes
41041C0700XSocial WorkerClinical6879100ANEW YORKNo
52084P0800XPsychiatry & NeurologyPsychiatry6879100ANEW YORKNo
6363L00000XNurse Practitioner6879100ANEW YORKNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1EMOTHERNEW YORKMENTAL HEALTH OUTPATIENT
200357846MEDICAIDNEW YORK
3103283EUOTHERNEW YORKMENTAL HEALTH OUTPATIENT
43109089OTHERNEW YORKMENTAL HEALTH OUTPATIENT
5014003729OTHERNEW YORKMENTAL HEALTH OUTPATIENT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.