Active NPI
Janice Marie Sierak, LCSW
- Clinical Social Worker
- Utica, NY
National Provider Identifier
1366480204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 078235-1
- Practice address
- 1400 Noyes St
Utica, NY 13502-3854 - Phone
- (315) 738-4440
- Fax
- (315) 738-4410
- NPI assigned
- Jun 3, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 078235-1 | NY | Primary |
Addresses
Primary practice location
1400 Noyes St
Utica, NY 13502-3854
Mailing address
1400 Noyes St
Utica, NY 13502-3854
Phone (315) 738-4440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00474180 | Medicaid | NY |
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 |
|---|---|---|---|
| 078235-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1366480204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 NOYES ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135023854",
"telephone_number": "315-738-4440",
"fax_number": "315-738-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 NOYES ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135023854",
"telephone_number": "315-738-4440",
"fax_number": "315-738-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIERAK",
"first_name": "JANICE",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "078235-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00474180",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.