Active NPI
Robert Joseph Foresti, LCSW
- Clinical Social Worker
- Camillus, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 063965-1
- Practice address
- 4914 W Genesee St
Camillus, NY 13031-2374 - Phone
- (315) 636-0120
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 063965-1 | NY | Primary |
Addresses
Primary practice location
4914 W Genesee St
Camillus, NY 13031-2374
Mailing address
4914 W Genesee St
Camillus, NY 13031-2374
Phone (315) 636-0120
Other practice location 1
146 North St
Auburn, NY 13021-1831
Phone (315) 253-2746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4914 W Genesee St
Camillus, NY 13031-2374
Phone (315) 636-0120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063965-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Healthcare, PLLC | Current | Accepting new patients | |
| Robert J. Foresti, LCSW, PLLC | Clinical | Current | Accepting new patients |
Locations
8289 Loop Rd
Baldwinsville, NY 13027
Phone (315) 452-0300
4914 W Genesee St
Camillus, NY 13031
Phone (315) 446-1435
3300 James St
Ste 100
Syracuse, NY 13206
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Camillus, NY
- NPI 1174145601
-
- Professional Counselor
- Syracuse, NY
- NPI 1922109578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590278400000",
"number": "1003925165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4914 W GENESEE ST",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130312374",
"telephone_number": "315-636-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4914 W GENESEE ST",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130312374",
"telephone_number": "315-636-0120"
}
],
"practiceLocations": [
{
"address_1": "146 North St",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "NY",
"postal_code": "130211831",
"country_code": "US",
"telephone_number": "315-253-2746",
"fax_number": "315-253-1077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORESTI",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2020-05-24",
"certification_date": "2020-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "063965-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camillus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.