Individual provider Active NPI

Cara Lynn Fraser, LCSW-R, MPA

  • Social Worker
  • Binghamton, NY
National Provider Identifier
1083893077
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0733633-1 Issued in NY
Practice address
257 Main St
Binghamton, NY 13905-2522
Phone
(607) 729-6206
Fax
(607) 729-1858
NPI assigned
Oct 26, 2007
Last updated
Jul 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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 0733633-1 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

Other names 1

  • Ms. Cara Lynn Gilli Former 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
I20141121000141 NY Practitioner - Clinical Social Worker 9133341498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0733633-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Health Services Hospitals, Inc. CurrentSince Dec 21, 2019 Accepting new patients

Locations

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

33 Mitchell Ave
Binghamton, NY 13903
Phone (607) 762-2340

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.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1083893077",
    "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": "FRASER",
        "first_name": "CARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R, MPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0733633-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "GILLI",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LMSW, MPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.