Active NPI
Sara W Cavallo, LCSW
- Social Worker
- Syracuse, NY
National Provider Identifier
1306941307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 063176
- Practice address
- 800 Irving Ave
Department of Social Work
Syracuse, NY 13210-2716 - Phone
- (315) 425-4421
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- 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 | 063176 | NY | Primary |
Addresses
Primary practice location
800 Irving Ave
Department of Social Work
Syracuse, NY 13210-2716
Mailing address
116 Kuhl Ave
Syracuse, NY 13208-2346
Phone (315) 425-4421
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063176 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1306941307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 KUHL AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132082346",
"telephone_number": "315-425-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 IRVING AVE",
"address_2": "DEPARTMENT OF SOCIAL WORK",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102716",
"telephone_number": "315-425-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVALLO",
"first_name": "SARA",
"middle_name": "W",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "063176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.