Individual provider Active NPI

Jolene T Sparacino, MLSW

  • Social Worker
  • Cheektowaga, NY
National Provider Identifier
1033269758
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
073143
Practice address
3435 Harlem Rd Ste 3
Cheektowaga, NY 14225-2021
Phone
(716) 785-2903
Fax
(162) 714-5857
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 073143 Primary

Addresses

Primary practice location

3435 Harlem Rd Ste 3
Cheektowaga, NY 14225-2021

Mailing address

1001 Eleventh Street
Room 2021 Trott Access Center
Niagara Falls, NY 14301
Phone (716) 278-1940

Other names 1

  • Jolene Heffron Sparacino Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000537 NY Practitioner - Clinical Social Worker 6709051501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1033269758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ELEVENTH STREET",
            "address_2": "ROOM 2021 TROTT ACCESS CENTER",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14301",
            "telephone_number": "716-278-1940",
            "fax_number": "716-278-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 HARLEM RD STE 3",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252021",
            "telephone_number": "716-785-2903",
            "fax_number": "162-714-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARACINO",
        "first_name": "JOLENE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "MLSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "073143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLENE",
            "last_name": "HEFFRON SPARACINO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.