Active NPI
Joseph Paul Carlino, LCSW-R
- Clinical Social Worker
- Canandaigua, NY
National Provider Identifier
1386755304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RO34621-1
- Practice address
- 42 NTH Main St
Canandaigua, NY 14424 - Phone
- (585) 919-0014
- Fax
- (585) 393-0014
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- 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 | RO34621-1 | NY | Primary |
Addresses
Primary practice location
42 NTH Main St
Canandaigua, NY 14424
Mailing address
42 NTH Main St
Canandaigua, NY 14424
Phone (585) 919-0014
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180410001768 | NY | Practitioner - Clinical Social Worker | 0345503009 | Practice locations: Canandaigua, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO34621-1 | NY | MD | Clinical Social Worker |
| 034621 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1386755304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 NTH MAIN ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "14424",
"telephone_number": "585-919-0014",
"fax_number": "585-393-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 NTH MAIN ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "14424",
"telephone_number": "585-919-0014",
"fax_number": "585-393-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLINO",
"first_name": "JOSEPH",
"middle_name": "PAUL",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "RO34621-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.