Individual provider Active NPI

Janet Wentworth Erickson, LCSW-R CASAC

  • Clinical Social Worker
  • Oneonta, NY
National Provider Identifier
1346301199
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078760-1 Issued in NY
Practice address
242 Main St
Oneonta, NY 13820-2527
Phone
(607) 431-1030
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 078760-1 NY Primary

Addresses

Primary practice location

242 Main St
Oneonta, NY 13820-2527

Mailing address

665 W Kortright Church Rd
East Meredith, NY 13757-1055
Phone (607) 278-5784

Other names 1

  • Mrs. Janet Louise Wentworth Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111101000064 NY Practitioner - Clinical Social Worker 4385817709 Reassigns benefits to 3 organizations
Practice locations: Delhi, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078760-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Otsego CurrentSince Aug 21, 2011 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince May 17, 2025 Accepting new patients
County of Otsego CurrentSince Aug 21, 2011 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince May 17, 2025 Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

242 Main St
Oneonta, NY 13820
Phone (607) 431-1030

130 North St
Walton, NY 13856
Phone (607) 865-6541

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1346301199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 W KORTRIGHT CHURCH RD",
            "city": "EAST MEREDITH",
            "state": "NY",
            "postal_code": "137571055",
            "telephone_number": "607-278-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202527",
            "telephone_number": "607-431-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JANET",
        "middle_name": "WENTWORTH",
        "name_prefix": "Ms.",
        "credential": "LCSW-R  CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078760-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "WENTWORTH",
            "middle_name": "LOUISE",
            "prefix": "MRS.",
            "credential": "LCSW-R  CASAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.