Sara J Paolini, LCSW

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

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychiatry Services of New York, PCGroup PAC ID 9133534340, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychiatry Services of New York PC

  • Counseling Psychologist
  • Syracuse, NY
  • NPI 1013781871
  Medicare reassignment Care Compare group NPD
• Psychiatry Services of New York, P.C.

  • Clinical Social Worker
  • Syracuse, NY
  • NPI 1104619352
  NPD
• Psychological Healthcare, PLLC

  • Professional Counselor
  • Syracuse, NY
  • NPI 1922109578
  NPD
• Onondaga Case Management Services Inc.

  • Case Management Agency
  • Syracuse, NY
  • NPI 1235184235
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI",
            "identifier": "1235184235",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP MEDICAID",
            "identifier": "02994838",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP MEDICARE",
            "identifier": "BA1047",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mario Francis Panetta, MS
• Danielle Nicole Pannella, MS, CCC-SLP
• Oxana Panol, LCSW
• Veera Durga Sravanthi Panuganty, M.D.
• April Lynn Paoff, RN
• Sheila S Paolini, LCSW-R
• Kristopher Mark Paolino, M.D.
• Frank Peter Paolozzi, MD
• Patrice Renee Paolucci, D.O.
• Cynthia Lillian Papaccio

• Clinical Social Worker in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Clinical Social Worker in New York

• 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.

Verify at the official NPI Registry.