Active NPI
Paris L Pearson, LCSW
- Clinical Social Worker
- Rome, NY
National Provider Identifier
1346708831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 087259-1
- Practice address
- 143 W Dominick St
Rome, NY 13440-5857 - Phone
- (315) 866-0100
- NPI assigned
- Mar 4, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 087259-1 | NY | Primary |
Addresses
Primary practice location
143 W Dominick St
Rome, NY 13440-5857
Mailing address
1657 Saint Jane Ave
Utica, NY 13501-5130
Phone (315) 292-4123
Other names 1
- Paris Vanarsdale
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 |
|---|---|---|---|
| 087259-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuda Counseling LCSW PLLC | Clinical | Current | Accepting new patients |
Locations
435 N Prospect St
Herkimer, NY 13350
Phone (315) 866-0100
336 E State St
#A
Herkimer, NY 13350
Phone (315) 866-0100
143 W Dominick St
Rome, NY 13440
Phone (315) 677-4163
Organizations & group practices 1
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
- Little Falls, NY
- NPI 1689123499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1346708831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1657 SAINT JANE AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "135015130",
"telephone_number": "315-292-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 W DOMINICK ST",
"city": "ROME",
"state": "NY",
"postal_code": "134405857",
"telephone_number": "315-866-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "PARIS",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-04",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087259-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PARIS",
"last_name": "VANARSDALE",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 4, 2019; 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.