Individual provider Active NPI

Antonietta Chairmonte, LCSWR

  • Clinical Social Worker
  • East Syracuse, NY
National Provider Identifier
1134203151
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R069626-1 Issued in NY
Practice address
5900 N Burdick St Ste 100a
East Syracuse, NY 13057-9463
Phone
(315) 526-1971
Fax
(315) 516-2053
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R069626 NY
Clinical Social Worker 1041C0700X R069626-1 NY Primary

Addresses

Primary practice location

5900 N Burdick St Ste 100a
East Syracuse, NY 13057-9463

Mailing address

5900 N Burdick St Ste 100a
East Syracuse, NY 13057-9463
Phone (315) 526-1971

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
I20040219000360 NY Practitioner - Clinical Social Worker 7911892831 Practice locations: East Syracuse, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5900 N Burdick St
East Syracuse, NY 13057-9462
Phone (315) 516-2053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R069626NYMDClinical Social Worker
R069626-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Healthcare, PLLC CurrentSince Sep 1, 2005 Accepting new patients

Locations

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

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

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1134203151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST STE 100A",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579463",
            "telephone_number": "315-526-1971",
            "fax_number": "315-516-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST STE 100A",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579463",
            "telephone_number": "315-526-1971",
            "fax_number": "315-516-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIRMONTE",
        "first_name": "ANTONIETTA",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R069626",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R069626-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.