Active NPI
Barbara J Englehart
- Clinical Social Worker
- East Syracuse, NY
National Provider Identifier
1215745609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 071455-01
- Practice address
- 5800 Heritage Landing Dr Ste E
East Syracuse, NY 13057-9378 - Phone
- (315) 396-8400
- Fax
- (315) 810-5183
- NPI assigned
- Dec 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 071455-01 | NY | Primary |
Addresses
Primary practice location
5800 Heritage Landing Dr Ste E
East Syracuse, NY 13057-9378
Mailing address
4 Edgewood Pkwy
Fayetteville, NY 13066-2564
Phone (315) 329-8009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071455-01 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1215745609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 EDGEWOOD PKWY",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130662564",
"telephone_number": "315-329-8009",
"fax_number": "315-810-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 HERITAGE LANDING DR STE E",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579378",
"telephone_number": "315-396-8400",
"fax_number": "315-810-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLEHART",
"first_name": "BARBARA",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-18",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "071455-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.