Individual provider Active NPI

Edward B Falsey, LCSW-R

  • Clinical Social Worker
  • N Syracuse, NY
National Provider Identifier
1447538277
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R033135-1 Issued in NY
Practice address
7266 Buckley Rd
N Syracuse, NY 13212-2649
Phone
(314) 458-0919
Fax
(315) 458-0954
NPI assigned
Jul 27, 2011
Last updated
Jul 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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 R033135-1 NY Primary

Addresses

Primary practice location

7266 Buckley Rd
N Syracuse, NY 13212-2649

Mailing address

812 N Salina St
Syracuse, NY 13208-2513
Phone (315) 559-4711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R033135-1NYMDClinical Social Worker
33135NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Delconte Counseling LCSW PC CurrentSince Jan 28, 2024 Accepting new patients
Samaritan Counseling Center of the Southern Tier Inc Clinical PastSince Oct 1, 2017 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

7266 Buckley Rd
Syracuse, NY 13212
Phone (315) 458-0919

Organizations & group practices 3

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": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1447538277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082513",
            "telephone_number": "315-559-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7266 BUCKLEY RD",
            "city": "N SYRACUSE",
            "state": "NY",
            "postal_code": "132122649",
            "telephone_number": "314-458-0919",
            "fax_number": "315-458-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALSEY",
        "first_name": "EDWARD",
        "middle_name": "B",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R033135-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.