Individual provider Active NPI

Paris L Pearson, LCSW

  • Clinical Social Worker
  • Rome, NY
National Provider Identifier
1346708831
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087259-1 Issued in NY
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

Updated by the provider on Mar 4, 2019

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 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 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
I20190604001973 NY Practitioner - Clinical Social Worker 5395078463 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087259-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cuda Counseling LCSW PLLC Clinical CurrentSince May 22, 2019 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.

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

Verify at the official NPI Registry.