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LAURIE B GANGER LICSW
NPI 1790867935
Social Worker - Clinical in Brockport, NY

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
6668 FOURTH SECTION RD, BROCKPORT, NY 14420(585) 637-2670(585) 637-3678 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2021, Aug 31, 2020 (2 updates tracked since 2020).

About Laurie B Ganger Licsw NPPES

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

LAURIE B GANGER LICSW (NPI 1790867935) is an individual clinical provider in Brockport, New York, licensed in New York (080130) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1790867935
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLAURIE B GANGERCredential: LICSW
Location Address6668 FOURTH SECTION RDBrockport, NY 14420-2448
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 368-6870 · Fax (585) 368-6871
Phone(585) 637-2670
Fax(585) 637-3678
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 19, 2006
Last NPPES UpdateApril 20, 20212 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
✔ NPI 1790867935 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 · 080130
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.
6668 FOURTH SECTION RD, Brockport, NY 14420
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Other Names 1

Former Name (1)Laurie Brooks Licciardi Licensed Master Soci

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laurie B Ganger Licsw 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 ID9931194446
PECOS Enrollment IDI20201005002386
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14420 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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETH OLDIS TOLY-HUGHES CNM
Advanced Practice Midwife
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Monroe County (585) 637-2670
MARTHA ANN DAVID M.D.
Family Medicine
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Monroe County (585) 368-6870
ERICA L GURAK DPT
Physical Therapist
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Monroe County (585) 368-6860
KAYLA ROSE RISSEW NP
Nurse Practitioner (Family)
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Monroe County (585) 368-6870
COLLEEN QUIGLEY ZUNIGA PT
Physical Therapist
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Monroe County (585) 368-6877
NATALIE ADA BERTOIA MD
Obstetrics & Gynecology
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Monroe County (585) 637-2670
KATIE ELIZABETH TYNER DPT
Physical Therapist
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Monroe County (585) 368-6860
MR. KEVIN SCOTT GIBBS RN
Nurse Practitioner (Family)
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Monroe County (585) 368-6870

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 Laurie Ganger's NPI number?

The NPI number for Laurie Ganger is 1790867935. It was assigned to this individual provider in the NPPES registry on October 19, 2006. The provider is also known as Laurie Brooks Licciardi Licensed Master Soci.

Where is Laurie Ganger located?

Laurie Ganger practices at 6668 Fourth Section Rd, Brockport, NY 14420. The listed phone number is (585) 637-2670.

What is Laurie Ganger's specialty?

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

Is Laurie Ganger enrolled in Medicare?

Yes. Laurie Ganger 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.

When was this NPI record last updated?

The NPPES record for Laurie Ganger was last updated on April 20, 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.