Individual provider Active NPI

Bernadette M Wormuth-Alsheimer, LCSW-R

  • Clinical Social Worker
  • Utica, NY
National Provider Identifier
1275044836
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087807 Issued in NY
Practice address
408 Elizabeth St
Utica, NY 13501-2306
Phone
(315) 797-2233
NPI assigned
Oct 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 087807 NY Primary
Social Worker 104100000X 097595 NY

Addresses

Primary practice location

408 Elizabeth St
Utica, NY 13501-2306

Mailing address

507 Kent St
Utica, NY 13501-2317
Phone (315) 797-2233

Other practice location 1

507 Kent St
Utica, NY 13501-2317
Phone (315) 797-2233

Other practice location 2

7325 State Route 5
Clinton, NY 13323-3435
Phone (315) 859-1973

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
I20230512000768 NY Practitioner - Clinical Social Worker 4789040957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Association for the Blind IncGroup PAC ID 9234024746, 5 clinicians

Practice addresses (Care Compare)

507 Kent St
Utica, NY 13501-2317
Phone (315) 797-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087807NYMDSocial Worker
097595NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Association for the Blind, Inc. CurrentSince Jan 3, 2023 Accepting new patients
Lora a. Abraham, LCSW, P.C. CurrentSince Sep 7, 2024 Accepting new patients
Central Association for the Blind and Visually Impaired PastSince Jan 3, 2023 Accepting new patients
Brad Bennett Psychology PC Clinical PastSince Jul 9, 2004 Accepting new patients
Maria Horan LCSW PC Clinical PastSince Nov 1, 2008 Accepting new patients
Lynn Tomaino CSW & Associates Past Accepting new patients

Locations

7325 State Route 5
Clinton, NY 13323
Phone (315) 859-1973

408 Elizabeth St
Utica, NY 13501
Phone (315) 797-2233

507 Kent St
Utica, NY 13501
Phone (315) 797-2233

Organizations & group practices 6

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": "1508630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1275044836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 KENT ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012317",
            "telephone_number": "315-797-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 ELIZABETH ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012306",
            "telephone_number": "315-797-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 Kent St",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135012317",
            "country_code": "US",
            "telephone_number": "315-797-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7325 State Route 5",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NY",
            "postal_code": "133233435",
            "country_code": "US",
            "telephone_number": "315-859-1973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORMUTH-ALSHEIMER",
        "first_name": "BERNADETTE",
        "middle_name": "M",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-22",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087807",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.