Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Paul Vincent Soper, LCSW-R

Individual provider Clinical Social Worker · NPI 1679071377

Mr. Paul Vincent Soper, LCSW-R is a Clinical Social Worker in Ithaca, New York. Qualified in 2007, 19 years ago. Practices with Cayuga Medical Associates PC, a 277-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2018
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Practice location Address checks out

110 Ho Plaza Cornell University
Ithaca, NY 14853
Phone: (607) 255-5155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R079341-1 (NY)

Record details

NPI number1679071377
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedJanuary 28, 2018
Last updated in NPPESJanuary 28, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Cayuga Medical Associates Pc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Ithaca