Organization Active NPI

Devereux Associates, LCSW P.C.

  • Clinical Social Worker
  • Utica, NY
National Provider Identifier
1295068724
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075350 Issued in NY
Legal business name
DEVEREUX ASSOCIATES, LCSW P.C.
Practice address
11 Devereux St.
4TH Floor
Utica, NY 13501
Phone
(315) 269-1037
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Mr. Charles Arnold Zelows, LCSW
Title
Vice President
Phone
(315) 269-1037

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 075350 NY Primary
Community/Behavioral Health Agency 251S00000X 075350 NY

Addresses

Primary practice location

11 Devereux St.
4TH Floor
Utica, NY 13501

Mailing address

11 Devereux St.
4TH Floor
Utica, NY 13501
Phone (315) 269-1037

National Provider Directory

National Provider Directory

Locations

11 Devereux St
Fl 4
Utica, NY 13501
Phone (315) 269-1037

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1295068724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DEVEREUX ST.",
            "address_2": "4TH FLOOR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13501",
            "telephone_number": "315-269-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DEVEREUX ST.",
            "address_2": "4TH FLOOR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13501",
            "telephone_number": "315-269-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX ASSOCIATES, LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "ZELOWS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "315-269-1037",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075350",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "075350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.