Individual provider Active NPI

Heather Irene Sawaryn, LCSW-R

  • Clinical Social Worker
  • Auburn, NY
National Provider Identifier
1174622641
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070374 Issued in NY
Practice address
157 Genesee Street
Basement
Auburn, NY 13021-3461
Phone
(315) 253-0341
Fax
(315) 253-1129
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 070374 NY Primary

Addresses

Primary practice location

157 Genesee Street
Basement
Auburn, NY 13021-3461

Mailing address

157 Genesee Street
Basement
Auburn, NY 13021-3461
Phone (315) 253-0341

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
I20101223000188 NY Practitioner - Clinical Social Worker 0446448013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Cayuga CountyGroup PAC ID 6204747157, 19 clinicians

Practice addresses (Care Compare)

146 N St
Auburn, NY 13021-1831
Phone (315) 253-0341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070374NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cayuga County CurrentSince Aug 1, 2000 Accepting new patients
Cayuga County CurrentSince Aug 1, 2000 Accepting new patients

Locations

146 North St
Auburn, NY 13021
Phone (315) 253-0341

157 Genesee St
Bsmt
Auburn, NY 13021
Phone (315) 253-0341

Organizations & group practices 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174622641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 GENESEE STREET",
            "address_2": "BASEMENT",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213461",
            "telephone_number": "315-253-0341",
            "fax_number": "315-253-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 GENESEE STREET",
            "address_2": "BASEMENT",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213461",
            "telephone_number": "315-253-0341",
            "fax_number": "315-253-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWARYN",
        "first_name": "HEATHER",
        "middle_name": "IRENE",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.