PAUL NICHOLAS HURLEY LCSW
NPI 1548857857
Social Worker - Clinical in Lackawanna, NY

Active since December 22, 2020PECOS EnrolledAccepts Medicare Assignment
92.19/100
CMS Quality Rating
790 RIDGE RD, LACKAWANNA, NY 14218(716) 828-9500 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 24, 2021, Dec 22, 2020 (2 updates tracked since 2020).

About Paul Nicholas Hurley Lcsw NPPES

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

PAUL NICHOLAS HURLEY LCSW (NPI 1548857857) is an individual clinical provider in Lackawanna, New York, licensed in New York (091426) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1548857857
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePAUL NICHOLAS HURLEYCredential: LCSW
Location Address790 RIDGE RDLackawanna, NY 14218-1629
Mailing Address790 Ridge RdLackawanna, NY 14218-1629 · (716) 828-7550
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 22, 2020
Last NPPES UpdateSeptember 24, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
✔ NPI 1548857857 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 · 091426
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.
790 RIDGE RD, Lackawanna, NY 14218

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Nicholas Hurley Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254721970
PECOS Enrollment IDI20211210001646
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

4

Medicare enrollment records show Paul Hurley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Day Training, Developmentally Disabled Services
790 RIDGE RD
Lackawanna, NY 14218
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
Clinical
14415 68TH RD
Flushing, NY 11367
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group
Clinical
27 RANDOLPH RD
Howell, NJ 07731
  • Reassigned Medicare billing, New York enrollment
  • 156 clinicians in this Medicare group
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
157 services23 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14218 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.73
Improvement Activities40
Cost83.29

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.

Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Case Manager/Care Coordinator
790 RIDGE RD
LACKAWANNA, NY 14218
Counselor (Mental Health)
790 RIDGE RD
LACKAWANNA, NY 14218
Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Community Health Worker
790 RIDGE RD
LACKAWANNA, NY 14218
Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Community Health Worker
790 RIDGE RD
LACKAWANNA, NY 14218
Community Based Residential Treatment Facility, Mental Illness
790 RIDGE RD
LACKAWANNA, NY 14218

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 Paul Hurley's NPI number?

The NPI number for Paul Hurley is 1548857857. It was assigned to this individual provider in the NPPES registry on December 22, 2020.

Where is Paul Hurley located?

Paul Hurley practices at 790 Ridge Rd, Lackawanna, NY 14218. The listed phone number is (716) 828-9500.

What is Paul Hurley's specialty?

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

Is Paul Hurley enrolled in Medicare?

Yes. Paul Hurley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Paul Hurley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Hurley reassigns Medicare benefits to 4 organizations: Baker Hall (Lackawanna, NY), Senior Care Therapy Lcsw Of New York PLLC (Flushing, NY), Supportive Care Psychology Of Ny PC (Howell, NJ) and Bmsc Az LLC (Plainfield, IL). Each 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 Paul Hurley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Hurley accept?

Health plans from Oscar Health list Paul Hurley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Hurley was last updated on September 24, 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.