Individual provider Active NPI

Renee Francis Parisella, LCSW-R

  • Clinical Social Worker
  • Binghamton, NY
National Provider Identifier
1063420784
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072057-1 Issued in NY
Practice address
257 Main St
Binghamton, NY 13905-2522
Phone
(607) 729-6206
Fax
(607) 729-1858
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 072057-1 NY Primary

Addresses

Primary practice location

257 Main St
Binghamton, NY 13905-2522

Mailing address

257 Main St
Binghamton, NY 13905-2522
Phone (607) 729-6206

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
I20140722001954 NY Practitioner - Clinical Social Worker 3577789858 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072057-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Services of Cortland County, Inc. CurrentSince Nov 17, 2018 Accepting new patients

Locations

156 Main St
Binghamton, NY 13905
Phone (607) 235-3066

257 Main St
Binghamton, NY 13905
Phone (607) 629-6206

165 Main St
Ste A
Cortland, NY 13045

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1063420784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 MAIN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052522",
            "telephone_number": "607-729-6206",
            "fax_number": "607-729-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 MAIN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052522",
            "telephone_number": "607-729-6206",
            "fax_number": "607-729-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISELLA",
        "first_name": "RENEE",
        "middle_name": "FRANCIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072057-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.