Active NPI
Michael Anthony Scalzo, LMSW
- Social Worker
- Rome, NY
National Provider Identifier
1295012029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 082629-1
- Practice address
- 195 W Dominick St.
Rome, NY 13440 - Phone
- (315) 272-2730
- NPI assigned
- Nov 8, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 082629-1 | NY | Primary |
Addresses
Primary practice location
195 W Dominick St.
Rome, NY 13440
Mailing address
1648 Steuben St
Utica, NY 13501-4929
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082629-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Scalzo, Lcswr | Current | Accepting new patients | |
| Samaritan Counseling Center of the Mohawk Valley, Inc | Social Worker | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Utica, NY
- NPI 1649990763
-
- Social Worker
- Utica, NY
- NPI 1588903454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1295012029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1648 STEUBEN ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135014929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 W DOMINICK ST.",
"city": "ROME",
"state": "NY",
"postal_code": "13440",
"telephone_number": "315-272-2730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALZO",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-08",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "082629-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.