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MARY ELLEN LOUREY LCSW-R
NPI 1629093232
Social Worker - Clinical in Trumansburg, NY

Active since July 13, 2006Opted out of Medicare · through Apr 1, 2028
5165 JACKSONVILLE RD, TRUMANSBURG, NY 14886(607) 793-7127 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2023, Jan 20, 2023 (2 updates tracked since 2023).

About Mary Ellen Lourey Lcsw-r NPPES

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

MARY ELLEN LOUREY LCSW-R (NPI 1629093232) is an individual clinical provider in Trumansburg, New York, licensed in New York (076608) and active in the NPI registry since July 2006. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629093232
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY ELLEN LOUREYCredential: LCSW-R
Location Address5165 JACKSONVILLE RDTrumansburg, NY 14886-9001
Mailing AddressPo Box 275Jacksonville, NY 14854-0275
Phone(607) 793-7127
Sole ProprietorYes
Enumeration DateJuly 13, 2006
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1629093232 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 · 076608
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.
5165 JACKSONVILLE RD, Trumansburg, NY 14886
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary Ellen Lourey 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 April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-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 14886 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 Mary Lourey's NPI number?

The NPI number for Mary Lourey is 1629093232. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Mary Lourey located?

Mary Lourey practices at 5165 Jacksonville Rd, Trumansburg, NY 14886. The listed phone number is (607) 793-7127.

What is Mary Lourey's specialty?

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

Is Mary Lourey enrolled in Medicare?

No. Mary Lourey has opted out of Medicare through April 1, 2028. 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 Mary Lourey was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.