Active NPI
Carol Anne Anderson, LMSW
- Social Worker
- Syracuse, NY
National Provider Identifier
1083737910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 070196
- Practice address
- 120 Roxbury Rd
Syracuse, NY 13206-2318 - Phone
- (315) 437-4941
- Fax
- (315) 437-4941
- NPI assigned
- Apr 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 070196 | NY | Primary |
Addresses
Primary practice location
120 Roxbury Rd
Syracuse, NY 13206-2318
Mailing address
120 Roxbury Rd
Syracuse, NY 13206-2318
Phone (315) 437-4941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070196 | NY | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delconte Counseling LCSW PC | Social Worker | Current | Accepting new patients |
Locations
7266 Buckley Rd
Syracuse, NY 13212
Phone (315) 458-0919
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- N Syracuse, NY
- NPI 1427810787
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083737910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 ROXBURY RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132062318",
"telephone_number": "315-437-4941",
"fax_number": "315-437-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ROXBURY RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132062318",
"telephone_number": "315-437-4941",
"fax_number": "315-437-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CAROL",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "070196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.