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PHOENIX RISING THERAPEUTIC SERVICES LCSW PC
NPI 1003295395
Social Worker - Clinical in Alfred Station, NY

Active since May 20, 2015
5295 E VALLEY RD, ALFRED STATION, NY 14803(607) 587-8260 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phoenix Rising Therapeutic Services Lcsw Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX RISING THERAPEUTIC SERVICES LCSW PC (NPI 1003295395) is a healthcare organization registered as a clinical in Alfred Station, New York and active in the NPI registry since May 2015. The organization lists Mary Beth Mcdonough, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1003295395
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePHOENIX RISING THERAPEUTIC SERVICES LCSW PC
Location Address5295 E VALLEY RDAlfred Station, NY 14803-9715
Mailing Address5295 E Valley RdAlfred Station, NY 14803-9715 · (607) 587-8260
Phone(607) 587-8260
Organization SubpartNo
Authorized OfficialMary Beth McdonoughSole Owner · (607) 587-8260
Enumeration DateMay 20, 2015
✔ NPI 1003295395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R045595-1
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5295 E VALLEY RD, Alfred Station, NY 14803
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoenix Rising Therapeutic Services Lcsw Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Phoenix Rising Therapeutic Services Lcsw PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Beth Mcdonough, CSWR-R
Clinical Social Worker
NPI 1265442495
476 CANISTEO ST
Hornell, NY 14843
(607) 324-3580
✔ PECOS✔ Accepts Medicare7.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Rising Therapeutic Services Lcsw PC's NPI number?

The NPI number for Phoenix Rising Therapeutic Services Lcsw PC is 1003295395. It was assigned to this organization in the NPPES registry on May 20, 2015.

Where is Phoenix Rising Therapeutic Services Lcsw PC located?

Phoenix Rising Therapeutic Services Lcsw PC is located at 5295 E Valley Rd, Alfred Station, NY 14803. The listed phone number is (607) 587-8260.

What is Phoenix Rising Therapeutic Services Lcsw PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Phoenix Rising Therapeutic Services Lcsw PC enrolled in Medicare?

Yes. Phoenix Rising Therapeutic Services Lcsw PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Rising Therapeutic Services Lcsw PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Phoenix Rising Therapeutic Services Lcsw PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Phoenix Rising Therapeutic Services Lcsw PC was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.