Active NPI
Sara J Paolini, LCSW
- Clinical Social Worker
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 072647
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry Services of New York PC | Current | Accepting new patients | |
| Psychiatry Services of New York, P.C. | Clinical | Current | Accepting new patients |
| Psychological Healthcare, PLLC | Current | 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
- https://api.platform.athenahealth.com/28623/brand/6/csg/1/fhir/r4
- sara.paolini.1@28623.direct.athenahealth.com
- 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.
-
- Counseling Psychologist
- Syracuse, NY
- NPI 1013781871
-
- Clinical Social Worker
- Syracuse, NY
- NPI 1104619352
-
- Professional Counselor
- Syracuse, NY
- NPI 1922109578
-
dba Circare
- Case Management Agency
- Syracuse, NY
- NPI 1235184235
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.