Active NPI
Janet Wentworth Erickson, LCSW-R CASAC
- Clinical Social Worker
- Oneonta, NY
National Provider Identifier
1346301199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 078760-1
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078760-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Otsego | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| County of Otsego | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Oneonta, NY
- NPI 1104925031
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Land Ambulance
- Cooperstown, NY
- NPI 1801555214
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.