Nancy Annette Radecki, NANCY RADECKI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072147 Issued in NY

Practice address

3537 Bonstead Rd
Clay, NY 13041-9635

Phone

(315) 395-2524

NPI assigned

Jan 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nancy Annette Natale Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lifespan Speech and Swallowing Services

  • Speech-Language Pathologist
  • Liverpool, NY
  • NPI 1932798592
  NPD (past)

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1245478304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 BONSTEAD RD",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130419635",
            "telephone_number": "315-395-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 BONSTEAD RD",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130419635",
            "telephone_number": "315-395-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADECKI",
        "first_name": "NANCY",
        "middle_name": "ANNETTE",
        "credential": "NANCY RADECKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "NATALE",
            "middle_name": "ANNETTE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle M O'Brien
• Olga Bartley
• Patty-Roy Foundation, Inc.
• Lindsay Priest
• Gisela Inge Puccini, LPN
• Jaime M Riley, LPN
• Yvette Rivera
• Safi Optometrist PC
• Raven Smith- Bentley, LPN
• Kimberly Jean Sprague

• Clinical Social Worker in Clay, NY
• Providers in Clay, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.