Individual provider Active NPI

Claire Marie Paice, LCSW

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1386655025
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R028775 Issued in NY
Practice address
2207 Burnet Ave
Syracuse, NY 13206-2930
Phone
(315) 428-8844
Fax
(315) 428-8304
NPI assigned
Aug 10, 2006
Last updated
Dec 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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 R028775 NY Primary

Addresses

Primary practice location

2207 Burnet Ave
Syracuse, NY 13206-2930

Mailing address

2207 Burnet Ave
Syracuse, NY 13206-2930
Phone (315) 428-8844

Other identifiers 1

IdentifierTypeStateIssuer
01670626MedicaidNY

Other names 1

  • Ms. Kerry Marie Paice Other 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
I20050215000929 NY Practitioner - Clinical Social Worker 0345292686 Reassigns benefits to 1 organization
Practice locations: Brewerton, NY; Syracuse, NY; Bridgeport, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2207 Burnet Ave
Syracuse, NY 13206-2930
Phone (315) 428-8844

467 N Shore Dr
Bridgeport, NY 13030-9612
Phone (315) 428-8844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R028775NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital Health Center CurrentSince Jan 1, 2014 Accepting new patients
St Joseph's Hospital Health Center CurrentSince Jan 1, 2014 Accepting new patients

Locations

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1386655025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 BURNET AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062930",
            "telephone_number": "315-428-8844",
            "fax_number": "315-428-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 BURNET AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062930",
            "telephone_number": "315-428-8844",
            "fax_number": "315-428-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAICE",
        "first_name": "CLAIRE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R028775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01670626",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "PAICE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.