Phoenix Rising Therapeutic Services Lcsw PC
NPI 1003295395 · Clinical Social Worker · Alfred Station, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phoenix Rising Therapeutic Services Lcsw PC is a Clinical Social Worker organization in Alfred Station, NY (NPI 1003295395).
Provider details
- NPI number
- 1003295395
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mary Beth Mcdonough, Sole Owner(607) 587-8260
- License
- R045595-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-05-20
- Last updated
- 2015-05-20
Frequently asked questions
- What is Phoenix Rising Therapeutic Services Lcsw PC's NPI number?
- Phoenix Rising Therapeutic Services Lcsw PC's National Provider Identifier (NPI) is 1003295395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Rising Therapeutic Services Lcsw PC?
- Phoenix Rising Therapeutic Services Lcsw PC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Phoenix Rising Therapeutic Services Lcsw PC located?
- Phoenix Rising Therapeutic Services Lcsw PC's practice location on file with NPPES is 5295 E Valley Rd, Alfred Station, NY 14803-9715.
- What is Phoenix Rising Therapeutic Services Lcsw PC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Rising Therapeutic Services Lcsw PC is (607) 587-8260.
- Does Phoenix Rising Therapeutic Services Lcsw PC accept Medicare?
- Phoenix Rising Therapeutic Services Lcsw PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Phoenix Rising Therapeutic Services Lcsw PC?
- The authorized official listed on Phoenix Rising Therapeutic Services Lcsw PC's NPPES record is Mary Beth Mcdonough, Sole Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Rising Therapeutic Services Lcsw PC's NPI active?
- Yes — Phoenix Rising Therapeutic Services Lcsw PC's NPI (1003295395) is active in the NPPES registry as of the last update on 2015-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.