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ONTARIO COUNTY
NPI 1003802190
Social Worker in Canandaigua, NY

Active since September 23, 2005CLIA 33D1101533 · Waiver
3019 COUNTY COMPLEX DR, CANANDAIGUA, NY 14424(585) 396-4363(585) 396-4993 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2021, Mar 26, 2021 (2 updates tracked since 2021).

About Ontario County NPPES

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

ONTARIO COUNTY (NPI 1003802190) is a healthcare organization registered as a social worker in Canandaigua, New York and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jessica Mitchell, Director, as its authorized official.

NPPES Registry Identity

NPI1003802190
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NameONTARIO COUNTY
Location Address3019 COUNTY COMPLEX DRCanandaigua, NY 14424-9505
Mailing Address3019 County Complex DrCanandaigua, NY 14424-9505 · (585) 396-4363 · Fax (585) 396-4993
Phone(585) 396-4363
Fax(585) 396-4993
Organization SubpartNo
Authorized OfficialJessica MitchellDirector · (585) 396-4363
Enumeration DateSeptember 23, 2005
Last NPPES UpdateApril 1, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1003802190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 6879100A
Definition
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.
Also ListedPsychologistTaxonomy 103T00000X · License 6879100A (NY)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6879100A (NY)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6879100A (NY)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 6879100A (NY)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 6879100A (NY)
3019 COUNTY COMPLEX DR, Canandaigua, NY 14424
Open in Google Maps ↗

Other Identifiers 5

OtherEMNY · Mental Health Outpatient
Medicaid00357846NY
Other103283EUNY · Mental Health Outpatient
Other3109089NY · Mental Health Outpatient
Other014003729NY · Mental Health Outpatient

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 MULTIPLE 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)

Ontario County is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Ontario County, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Clinical Social Worker10
Psychiatry7
Nurse Practitioner2
Clinical Psychologist1
Family Practice1

Nearest to this location (20)

See all 21
Lilah Crelley, LMSW
Clinical Social Worker
NPI 1144508045
3019 COUNTY COMPLEX DR
Canandaigua, NY 14424
(585) 396-4363
✔ PECOSSame address
James Ditmars, LCSW-R
Clinical Social Worker
NPI 1932213196
3019 COUNTY COMPLEX DR
Canandaigua, NY 14424
(585) 396-4363
✔ PECOSSame address
Marvin Duncan, LCSW
Clinical Social Worker
NPI 1609607498
3019 COUNTY COMPLEX DR
Canandaigua, NY 14424
(585) 396-4363
✔ PECOS✔ Accepts MedicareSame address
Lynn Lebrecht
Clinical Social Worker
NPI 1750731857
3019 COUNTY COMPLEX DR
Canandaigua, NY 14424
(585) 396-4363
✔ PECOSSame address
Jessica Mitchell, PH.D.
Clinical Psychologist
NPI 1447508791
3019 COUNTY COMPLEX DR
Canandaigua, NY 14424
(585) 396-4363
✔ PECOSSame address
Cassandra Webster
Clinical Social Worker
NPI 1700546124
3019 COUNTY COMPLEX DR
Canandaigua, NY 14424
(585) 396-4363
✔ PECOS✔ Accepts MedicareSame address
Veronica Bailey, PMHNP-BC
Nurse Practitioner
NPI 1679955983
35 NORTH ST CANANDAIGUA BEHAVIORAL HEALTH
Canandaigua, NY 14424
(585) 394-0530
✔ PECOS4.6 mi
John Sharza, MD
Family Practice
NPI 1073622197
53 W MAIN ST
Victor, NY 14564
(585) 924-0690
✔ PECOS✔ Accepts Medicare12 mi
Arick Combs, LMSW
Clinical Social Worker
NPI 1275871758
1519 NYE RD
Lyons, NY 14489
(315) 946-5722
✔ PECOS✔ Accepts Medicare15 mi
Peter Guarino, LMSW
Clinical Social Worker
NPI 1235446824
31 THURBER DR
Waterloo, NY 13165
(315) 539-1980
✔ PECOS✔ Accepts Medicare19 mi
Andrea Faulkner, M.D.
Psychiatry
NPI 1649348897
10 OFFICE PARK WAY
Pittsford, NY 14534
(585) 586-9640
✔ PECOS22 mi
Kaitlyn Berube, LCSW-R
Clinical Social Worker
NPI 1437561701
2300 EAST AVE
Rochester, NY 14610
(585) 684-7227
✔ PECOS25 mi
Gretchen Foley, M.D.
Psychiatry
NPI 1760576318
1111 ELMWOOD AVE ROCHESTER PSYCHIATRIC CENTER RFU
Rochester, NY 14620
(585) 241-1200
✔ PECOS26 mi
Elizabeth Harre, MD
Psychiatry
NPI 1043410459
1111 ELMWOOD AVE
Rochester, NY 14620
(585) 241-1262
✔ PECOS26 mi
Jessica Norton, M.D.
Psychiatry
NPI 1194827725
224 ALEXANDER ST STE 100
Rochester, NY 14607
(585) 922-7770
✔ PECOS✔ Accepts Medicare27 mi
Carin Chattin, MA, LCSW
Clinical Social Worker
NPI 1891022489
2350 E RIDGE RD
Rochester, NY 14622
(585) 339-1528
✔ PECOS28 mi
Zaid Saeed, D.O.
Psychiatry
NPI 1679862270
89 GENESEE ST
Rochester, NY 14611
(585) 368-3543
✔ PECOS✔ Accepts Medicare28 mi
Dennis Henry
Nurse Practitioner
NPI 1427772482
620 MADISON ST
Syracuse, NY 13210
(315) 426-3600
✔ PECOS✔ Accepts Medicare55 mi
Shabnamzehra Bhojani, M.D
Psychiatry
NPI 1366706996
622 W 168TH ST PH 130
New York, NY 10032
(718) 790-1140
✔ PECOS✔ Accepts Medicare220 mi
Melissa Cantiello, L.M.S.W.
Clinical Social Worker
NPI 1346521358
85 W BURNSIDE AVE
Bronx, NY 10453
(718) 716-4400
✔ PECOS✔ Accepts Medicare220 mi
See all 21 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1101533

Ontario County Correctional Facility Medical Div · Canandaigua, NY
Active · expires Mar 26, 2027
CLIA Number33D1101533
Laboratory TypePrison
Certificate Effective DateJune 29, 2009
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. John Sharza
Laboratory Phone(585) 393-3067
Laboratory LocationOntario County Correctional Facility Medical Div3045 County Complex Drive, Canandaigua, NY 14424
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Ontario County's NPI number?

The NPI number for Ontario County is 1003802190. It was assigned to this organization in the NPPES registry on September 23, 2005.

Where is Ontario County located?

Ontario County is located at 3019 County Complex Dr, Canandaigua, NY 14424. The listed phone number is (585) 396-4363.

What is Ontario County's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Ontario County enrolled in Medicare?

Yes. Ontario County is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ontario County?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 5 Medicare specialties reassign their Medicare billing to Ontario County. 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. The largest specialties are Clinical Social Worker (10), Psychiatry (7) and Nurse Practitioner (2). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ontario County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1101533) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ontario County was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.