New Spirit Licensed Clinical Social Work, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074567-1 Issued in NY

Legal business name

NEW SPIRIT LICENSED CLINICAL SOCIAL WORK, PLLC

Practice address

142 W 2ND St
Unit # 1a
Oswego, NY 13126-2547

Phone

(315) 216-4776

Fax

(315) 216-4783

NPI assigned

Apr 30, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Elaine Bishara Caraccioli, LCSWNPI 1740548775

Title

Operating Manager

Phone

(917) 536-0420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elaine Bishara Caraccioli, LCSW

  • Clinical Social Worker
  • Oswego, NY
  • NPI 1740548775
  NPD (past) Authorized official

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1275978660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W 2ND ST",
            "address_2": "UNIT # 1A",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262547",
            "telephone_number": "315-216-4776",
            "fax_number": "315-216-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W 2ND ST",
            "address_2": "UNIT # 1A",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262547",
            "telephone_number": "315-216-4776",
            "fax_number": "315-216-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SPIRIT LICENSED CLINICAL SOCIAL WORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "CARACCIOLI",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "BISHARA",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "917-536-0420",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074567-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Marie Naylor, FNP
• Jessica Jean Neal
• Taylor Ann Nelson
• Elizabeth Nevin, RPH
• New Day Rising Cny, LLC
• Joan Newell, M.D.
• Otis Newson, COTA
• Linda Nicholas, LMSW
• Cam Tu Nichols, LCSW
• Jennifer L Nichols, F.N.P-C

• Clinical Social Worker in Oswego, NY
• Providers in Oswego, 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 Jul 19, 2013; 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.