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KELESEY WAGE
NPI 1629596119
Social Worker in Canandaigua, NY

Active since September 05, 2017PECOS EnrolledAccepts Medicare Assignment
3019 COUNTY COMPLEX DR, CANANDAIGUA, NY 14424(585) 396-4363 Get Directions Write a Review

NPPES record last updated: September 5, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelesey Wage NPPES

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

KELESEY WAGE (NPI 1629596119) is an individual social worker in Canandaigua, New York and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1629596119
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELESEY WAGE
Location Address3019 COUNTY COMPLEX DRCanandaigua, NY 14424-9505
Mailing Address3019 County Complex DrCanandaigua, NY 14424-9505
Phone(585) 396-4363
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 5, 2017
✔ NPI 1629596119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
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.
3019 COUNTY COMPLEX DR, Canandaigua, NY 14424
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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 and accepts Medicare assignment

Kelesey Wage 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 ID2668861287
PECOS Enrollment IDI20220818000514
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 Kelesey Wage reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Wayne
15 mi
Mental Health (Including Community Mental Health Center)
1519 NYE ROAD
Lyons, NY 14489
  • Reassigned Medicare billing, New York enrollment
  • 39 clinicians in this Medicare group
NPI 1003824855 (315) 946-5722

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.
152 services24 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
33 services15 patients

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.

ONTARIO COUNTY
Social Worker
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Ontario County (585) 396-4363
MR. THOMAS J. STREB
Counselor (Addiction (Substance Use Disorder))
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Ontario County (585) 396-4190
MS. LINDSEY L. PETERSON
Counselor
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Ontario County (585) 396-4190
DIANE LYNN JOHNSTON LCSW-R
Social Worker (Clinical)
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Ontario County (585) 396-4363
MR. SHAFEEGH HABEEB
Counselor
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Ontario County (585) 396-4190
LILAH J CRELLEY LMSW
Social Worker
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Ontario County (585) 396-4363
DEBORAH SUE GILLMOR-MROZ
Case Manager/Care Coordinator
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Ontario County (585) 396-8849
ONTARIO COUNTY
Public Health or Welfare
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Ontario County (585) 396-4354

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 Kelesey Wage's NPI number?

The NPI number for Kelesey Wage is 1629596119. It was assigned to this individual provider in the NPPES registry on September 5, 2017.

Where is Kelesey Wage located?

Kelesey Wage practices at 3019 County Complex Dr, Canandaigua, NY 14424. The listed phone number is (585) 396-4363.

What is Kelesey Wage's specialty?

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

Is Kelesey Wage enrolled in Medicare?

Yes. Kelesey Wage 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 organization bills Medicare for Kelesey Wage's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelesey Wage reassigns Medicare benefits to County Of Wayne (Lyons, 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 Kelesey Wage'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 Kelesey Wage was last updated on September 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.