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JANE KATHRYN CHAUNCEY LCSW-R
NPI 1265437941
Social Worker - Clinical in Ithaca, NY

Active since June 17, 2005Opted out of Medicare · through Jan 1, 2027
409 E UPLAND RD STE 200B, ITHACA, NY 14850(607) 280-5506 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jane Kathryn Chauncey Lcsw-r NPPES

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

JANE KATHRYN CHAUNCEY LCSW-R (NPI 1265437941) is an individual clinical provider in Ithaca, New York, licensed in New York (059542) and active in the NPI registry since June 2005. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Cortland.

NPPES Registry Identity

NPI1265437941
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJANE KATHRYN CHAUNCEYCredential: LCSW-R
Location Address409 E UPLAND RD STE 200BIthaca, NY 14850-2545
Mailing Address409 E Upland Rd Ste 200bIthaca, NY 14850-2545 · (607) 280-5506
Phone(607) 280-5506
Sole ProprietorYes
Enumeration DateJune 17, 2005
Last NPPES UpdateJanuary 6, 2026
NPPES CertifiedJanuary 6, 2026
✔ NPI 1265437941 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 · 059542
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.
409 E UPLAND RD STE 200B, Ithaca, NY 14850
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Secondary Practice Location 1

Location 14038 West RdCortland, NY 13045-1149 · Phone (607) 758-3008

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jane Kathryn Chauncey Lcsw-r has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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.

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 Jane Chauncey's NPI number?

The NPI number for Jane Chauncey is 1265437941. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Jane Chauncey located?

Jane Chauncey practices at 409 E Upland Rd Ste 200B, Ithaca, NY 14850. The listed phone number is (607) 280-5506.

What is Jane Chauncey's specialty?

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

Is Jane Chauncey enrolled in Medicare?

No. Jane Chauncey has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jane Chauncey was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.