Individual provider Active NPI

Sara J Paolini, LCSW

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1114202298
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072647 Issued in NY
Practice address
220 Herald Place
4TH Floor
Syracuse, NY 13202-5002
Phone
(315) 472-7363
Fax
(315) 701-2368
NPI assigned
Oct 20, 2011
Last updated
Oct 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 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 072647 NY Primary

Addresses

Primary practice location

220 Herald Place
4TH Floor
Syracuse, NY 13202-5002

Mailing address

220 Herald Place
4TH Floor
Syracuse, NY 13202-5002
Phone (315) 472-7363

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
I20120313000625 NY Practitioner - Clinical Social Worker 3971762881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3300 James St
Suite 100
Syracuse, NY 13206-2392
Phone (315) 422-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry Services of New York PC CurrentSince Feb 20, 2024 Accepting new patients
Psychiatry Services of New York, P.C. Clinical CurrentSince Feb 20, 2024 Accepting new patients
Psychological Healthcare, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Onondaga Case Management Services Inc. Past Accepting new patients

Locations

242 Washington Blvd
Sarasota, FL 34236
Phone (941) 266-0088

8289 Loop Rd
Baldwinsville, NY 13027
Phone (315) 452-0300

890 7th North St
Ste 100
Liverpool, NY 13088

890 7th North St
Ste 200
Liverpool, NY 13088
Phone (315) 200-1056

890 7th North St
Ste 200100
Liverpool, NY 13088

3300 James St
Ste 100
Syracuse, NY 13206
Phone (315) 671-2202

3300 James St
Ste 201
Syracuse, NY 13206
Phone (315) 437-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28623/brand/6/csg/1/fhir/r4
  • Direct secure messaging: sara.paolini.1@28623.direct.athenahealth.com
  • Direct secure messaging: spaolini@fcmg.medentdirect.com

Organizations & group practices 4

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": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1114202298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HERALD PLACE",
            "address_2": "4TH FLOOR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132025002",
            "telephone_number": "315-472-7363",
            "fax_number": "315-701-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HERALD PLACE",
            "address_2": "4TH FLOOR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132025002",
            "telephone_number": "315-472-7363",
            "fax_number": "315-701-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLINI",
        "first_name": "SARA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.