Active NPI
Shira Joelle Liddington, L.C.S.W.
- Clinical Social Worker
- Syracuse, NY
National Provider Identifier
1235390683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 076300-1
- Practice address
- 800 Irving Ave
Syracuse, NY 13210-2716 - Phone
- (315) 425-4400
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 076300-1 | NY | Primary |
Addresses
Primary practice location
800 Irving Ave
Syracuse, NY 13210-2716
Mailing address
800 Irving Ave
Syracuse, NY 13210-2716
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 |
|---|---|---|---|
| 076300-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1235390683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 IRVING AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 IRVING AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102716",
"telephone_number": "315-425-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIDDINGTON",
"first_name": "SHIRA",
"middle_name": "JOELLE",
"name_prefix": "Miss",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "076300-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.