ONTARIO COUNTY
NPI 1003802190
Social Worker in Canandaigua, NY

Q: 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.

Q: What is Ontario County's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

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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

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.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. THOMAS J. STREB

Counselor (Addiction (Substance Use Disorder))