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MR. GARY L SHORT LCSW-R
NPI 1164674677
Social Worker - Clinical in Bath, NY

Active since October 15, 2008PECOS Enrolled
7634 CAMPBELL CREEK RD, FAMILY LIFE MINISTRIES, BATH, NY 14810(607) 776-4151(607) 776-6929 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Gary L Short Lcsw-r NPPES

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

MR. GARY L SHORT LCSW-R (NPI 1164674677) is an individual clinical provider in Bath, New York, licensed in New York (R02539-1) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164674677
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. GARY L SHORTCredential: LCSW-R
Location Address7634 CAMPBELL CREEK RD, FAMILY LIFE MINISTRIESBath, NY 14810-7612
Mailing Address7815 County Route 13Bath, NY 14810-7904 · (607) 776-4151 · Fax (607) 776-6929
Phone(607) 776-4151
Fax(607) 776-6929
Sole ProprietorYes
Enumeration DateOctober 15, 2008
✔ NPI 1164674677 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 · R02539-1
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.
7634 CAMPBELL CREEK RD, Bath, NY 14810
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Gary L Short Lcsw-r is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gary Short reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Life Ministries Inc
Same address
Mental Health (Including Community Mental Health Center)
7634 CAMPBELL CREEK RD
Bath, NY 14810
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1124772637 (607) 776-4151

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14810 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

FAMILY LIFE MINISTRIES INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
7634 CAMPBELL CREEK RD
BATH, NY 14810
Steuben County (607) 776-4151
BARBARA CLAIRE SHORT LCSW-R
Social Worker (Clinical)
7634 CAMPBELL CREEK RD
BATH, NY 14810
Steuben County (607) 776-4151

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 Gary Short's NPI number?

The NPI number for Gary Short is 1164674677. It was assigned to this individual provider in the NPPES registry on October 15, 2008.

Where is Gary Short located?

Gary Short practices at 7634 Campbell Creek Rd Family Life Ministries, Bath, NY 14810. The listed phone number is (607) 776-4151.

What is Gary Short's specialty?

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

Is Gary Short enrolled in Medicare?

Yes. Gary Short is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gary Short's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Short reassigns Medicare benefits to Family Life Ministries Inc (Bath, NY). The 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 Gary Short's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gary Short was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.