Syracuse Family Counseling LCSW P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080775 Issued in NY

Legal business name

SYRACUSE FAMILY COUNSELING LCSW P.C.

Practice address

2507 James St Ste 203
Syracuse, NY 13206-2895

Phone

(315) 748-8735

NPI assigned

Apr 8, 2016

Organization subpart

No

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shane Keith Brown, LCSW

  • Clinical Social Worker
  • East Syracuse, NY
  • NPI 1912216714

  Clinical

  NPD Authorized official
• Patti Jo Finton, LCSW

  • Clinical Social Worker
  • Syracuse, NY
  • NPI 1518367713

  Clinical

  NPD
• Heather Robillard, LMSW

  • Social Worker
  • Syracuse, NY
  • NPI 1356196091
  NPD
• Anthony Hueber, LCSW-R

  • Clinical Social Worker
  • Syracuse, NY
  • NPI 1093031205

  Clinical

  NPD (past)

Locations

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

Authorized official

Name

Mr. Shane Keith Brown, LCSWNPI 1912216714

Title

President

Phone

(315) 447-3670

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2024.

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1497119192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 JAMES ST STE 203",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062895",
            "telephone_number": "315-748-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 JAMES ST STE 203",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062895",
            "telephone_number": "315-748-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE FAMILY COUNSELING LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-447-3670",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Syracuse, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.