Individual provider Active NPI

Christopher Scozzaro, LCSW

  • Social Worker
  • West Seneca, NY
National Provider Identifier
1073643219
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R045024-1 Issued in NY
Practice address
4184 Seneca St
Suite 207
West Seneca, NY 14224-3051
Phone
(716) 675-2032
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R045024-1 NY Primary

Addresses

Primary practice location

4184 Seneca St
Suite 207
West Seneca, NY 14224-3051

Mailing address

4184 Seneca St
Suite 207
West Seneca, NY 14224-3051
Phone (716) 675-2032

Other identifiers 1

IdentifierTypeStateIssuer
01526443MedicaidNY

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
I20050311000519 NY Practitioner - Clinical Social Worker 5698729630 Practice locations: Orchard Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3859 N Buffalo St
Orchard Park, NY 14127-1881
Phone (716) 675-2032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R045024-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073643219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4184 SENECA ST",
            "address_2": "SUITE 207",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243051",
            "telephone_number": "716-675-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4184 SENECA ST",
            "address_2": "SUITE 207",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243051",
            "telephone_number": "716-675-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOZZARO",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R045024-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01526443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.