MS. BETH A CANOUSE-MIDURA LCSW
NPI 1265462998
Social Worker in Ithaca, NY

Q: What is Beth Canouse-midura's NPI number?

The NPI number for Beth Canouse-midura is 1265462998. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Beth Canouse-midura's specialty?

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

Active since July 05, 2006PECOS Enrolled

201 EAST GREEN ST, ITHACA, NY 14850(607) 274-6200(607) 274-6316 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ms. Beth A Canouse-midura Lcsw NPPES

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

MS. BETH A CANOUSE-MIDURA LCSW (NPI 1265462998) is an individual social worker in Ithaca, New York, licensed in New York (R0380751) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1265462998

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. BETH A CANOUSE-MIDURACredential: LCSW

Location Address201 EAST GREEN STIthaca, NY 14850

Mailing Address201 East Green StIthaca, NY 14850 · (607) 274-6200 · Fax (607) 274-6316

Phone(607) 274-6200

Fax(607) 274-6316

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateJuly 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1265462998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · R0380751

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.

201 EAST GREEN ST, Ithaca, NY 14850

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Other Identifiers 1

Medicare ID-Type Unspecified55750B

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Beth A Canouse-midura Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305023862

PECOS Enrollment IDI20110609000323

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 Reassignments

Medicare enrollment records show Beth Canouse-midura reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pathways, Inc.

35 mi

Social Worker

77 FIRST STREET
Corning, NY 14830

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Clinical Assoc Of The So Tier Practising Lic Clin Soc Wk PLLC
12 clinicians in this Medicare group

NPI 1396896486 (607) 937-3200

Pathways, Inc.

35 mi

Social Worker

77 FIRST STREET
Corning, NY 14830

Reassigned Medicare billing, New York enrollment
23 clinicians in this Medicare group

NPI 1396896486 (607) 937-3200

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

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.

JON W KLOPPEL

Case Manager/Care Coordinator