Individual provider Active NPI

Brittany Rose Terotta, LCSW

  • Clinical Social Worker
  • Oswego, NY
National Provider Identifier
1134653108
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087591 Issued in NY
Practice address
351 W 1St St
Oswego, NY 13126-3621
Phone
(315) 326-3555
NPI assigned
Apr 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 091978 NY
Clinical Social Worker 1041C0700X 087591 NY Primary

Addresses

Primary practice location

351 W 1St St
Oswego, NY 13126-3621

Mailing address

98 N 2ND St
Suite 100
Fulton, NY 13069-1254
Phone (315) 326-3555

Other practice location 1

351 W 1st St
Oswego, NY 13126-3621
Phone (315) 591-6054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091978NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oswego Hospital CurrentSince Jan 12, 2019 Accepting new patients

Locations

98 N 2nd St
Ste 100
Fulton, NY 13069
Phone (315) 326-3555

98 N 2nd St
Fulton, NY 13069
Phone (315) 326-3555

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1134653108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 N 2ND ST",
            "address_2": "SUITE 100",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691254",
            "telephone_number": "315-326-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W 1ST ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263621",
            "telephone_number": "315-326-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131263621",
            "country_code": "US",
            "telephone_number": "315-591-6054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEROTTA",
        "first_name": "BRITTANY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091978",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.