Alisha Campanella

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090842 Issued in NY

Practice address

1550 Champlin Ave
Utica, NY 13502-4828

Phone

(315) 235-7600

NPI assigned

Nov 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The House of the Good Shepherd

  • Public Health or Welfare Agency
  • Utica, NY
  • NPI 1891989786
  NPD (past)

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1053077578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024828",
            "telephone_number": "315-235-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024828",
            "telephone_number": "315-235-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANELLA",
        "first_name": "ALISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick James Calhoun, PT
• Daniel Callahan, CRPA
• Theodore Michael Camesano, DMD
• Linda Jean Cammiso
• Brandi Campanaro
• Elizabeth A Campbell, FNP
• Heather Campbell
• Campola Chiropractic Services P.C.
• Michele Denise Campola
• Canal Country PA Group, PLLC

• Clinical Social Worker in Utica, NY
• Providers in Utica, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.