Organization Active NPI

Sacred Heart Healing Center

  • Clinical Social Worker
  • Rome, NY
National Provider Identifier
1407988751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R053289 Issued in NY
Legal business name
SACRED HEART HEALING CENTER
Practice address
310 E. Chestnut St.
Suite 14
Rome, NY 13440
Phone
(315) 335-4592
Fax
(315) 336-4800
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Charlene E. Emeterio, LCSW-R, BCD
Title
Owner, Private Practice
Phone
(315) 335-4592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R053289 NY Primary

Addresses

Primary practice location

310 E. Chestnut St.
Suite 14
Rome, NY 13440

Mailing address

608 Riverside Drive
Rome, NY 13440
Phone (315) 335-4592

Other identifiers 1

IdentifierTypeStateIssuer
02514405MedicaidNY

National Provider Directory

National Provider Directory

Locations

310 E Chestnut St
Ste 14
Rome, NY 13440
Phone (315) 335-4592

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407988751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 RIVERSIDE DRIVE",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-335-4592",
            "fax_number": "315-336-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E. CHESTNUT ST.",
            "address_2": "SUITE 14",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-335-4592",
            "fax_number": "315-336-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMETERIO",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER, PRIVATE PRACTICE",
        "authorized_official_telephone_number": "315-335-4592",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R, BCD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R053289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02514405",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.