Mary Jo Proietta-Halpern, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075899

Practice address

5088 Rene PL
North Syracuse, NY 13212-1013

Phone

(315) 439-8057

NPI assigned

Jun 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychiatry Services of New York, PCGroup PAC ID 9133534340, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/28623/brand/6/csg/1/fhir/r4

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.

• Psychiatry Services of New York PC

  • Counseling Psychologist
  • Syracuse, NY
  • NPI 1013781871
  Medicare reassignment Care Compare group NPD
• Northern Oswego County Health Services, Inc.

  • Community Health Clinic/Center
  • Pulaski, NY
  • NPI 1508850280
  Medicare reassignment NPD
• Psychiatry Services of New York, P.C.

  • Clinical Social Worker
  • Syracuse, NY
  • NPI 1104619352
  NPD
• Farnham Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Oswego, NY
  • NPI 1407870827
  NPD (past)

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1285945808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5088 RENE PL",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121013",
            "telephone_number": "131-543-9805",
            "fax_number": "315-343-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5088 RENE PL",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121013",
            "telephone_number": "315-439-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROIETTA-HALPERN",
        "first_name": "MARY JO",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "075899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Powell
• Jennifer Prall
• Primary Physical Therapy PLLC
• Primary Physical Therapy PLLC
• Gregory 'Greg' Procopio, N.P.
• Noelle Pudney
• William Michael Pullano, DDS
• Quest Diagnostics of Pennsylvania Inc.
• Nicole Quilty, FNP
• Barry Rabin, M.D.

• Clinical Social Worker in North Syracuse, NY
• Providers in North Syracuse, 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 Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.