Active NPI
Sacred Heart Healing Center
- Clinical Social Worker
- Rome, NY
National Provider Identifier
1407988751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R053289
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02514405 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.