Active NPI
Arise Child & Family Services
- Clinical Social Worker
- Syracuse, NY
National Provider Identifier
1386953701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 082303
- Legal business name
- ARISE CHILD & FAMILY SERVICES
- Practice address
- 635 James St
Syracuse, NY 13203-2226 - Phone
- (315) 672-1964
- NPI assigned
- Oct 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joanne Linnenbach, LMSW
- Title
- Director Mental Health Clinic
- Phone
- (315) 671-2964
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 082303 | NY | Primary |
Addresses
Primary practice location
635 James St
Syracuse, NY 13203-2226
Mailing address
635 James St
Syracuse, NY 13203-2226
Phone (315) 672-1964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01649605 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
635 James St
Syracuse, NY 13203
Phone (315) 472-3171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291075200000",
"number": "1386953701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 JAMES ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032226",
"telephone_number": "315-672-1964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 JAMES ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032226",
"telephone_number": "315-672-1964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARISE CHILD & FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-04",
"last_updated": "2010-11-30",
"status": "A",
"authorized_official_last_name": "LINNENBACH",
"authorized_official_first_name": "JOANNE",
"authorized_official_title_or_position": "DIRECTOR MENTAL HEALTH CLINIC",
"authorized_official_telephone_number": "315-671-2964",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "082303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01649605",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.