Individual provider Active NPI

Karen Stocker Laquidari, LCSW

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1477174373
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R027199-01 Issued in NY
Practice address
5075 W Seneca Tpke
Syracuse, NY 13215-3216
Phone
(718) 506-1115
NPI assigned
May 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R027199-01 NY Primary

Addresses

Primary practice location

5075 W Seneca Tpke
Syracuse, NY 13215-3216

Mailing address

823 Vine St
Liverpool, NY 13088-5229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R027199-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Healthcare, PLLC Single Specialty CurrentSince Jun 18, 2020 Accepting new patients
Supportive Care Psychology of Ny PC Single Specialty CurrentSince Apr 15, 2020 Accepting new patients
Buffalo Centre for the Treatment of Eating Disorders Single Specialty Past Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

8289 Loop Rd
Baldwinsville, NY 13027
Phone (315) 452-0300

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

890 7th North St
Ste 200
Liverpool, NY 13088
Phone (315) 200-1056

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

5075 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 435-5511

3300 James St
Ste 100
Syracuse, NY 13206

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1477174373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 VINE ST",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 W SENECA TPKE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132153216",
            "telephone_number": "718-506-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKER LAQUIDARI",
        "first_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027199-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.