Individual provider Active NPI

Denise Michelle Calcagnino, LCSW-R, CASAC

  • Clinical Social Worker
  • Wampsville, NY
National Provider Identifier
1518990811
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
75624 Issued in NY
Practice address
Veterans Memorial Building
North Court Street
Wampsville, NY 13163
Phone
(315) 366-2232
Fax
(315) 366-2599
NPI assigned
Jul 9, 2006
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11596 NY
Clinical Social Worker 1041C0700X 75624 NY Primary

Addresses

Primary practice location

Veterans Memorial Building
North Court Street
Wampsville, NY 13163

Mailing address

6215 Kenlaren Cir
North Syracuse, NY 13212-1867
Phone (315) 454-9433

Other practice location 1

428 S Main St Ste 106
North Syracuse, NY 13212-2896
Phone (315) 412-1017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000644 NY Practitioner - Clinical Social Worker 7113058520 Reassigns benefits to 1 organization
Practice locations: North Syracuse, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

428 S Main St
North Syracuse, NY 13212-2896
Phone (315) 412-1017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11596NYMDAddiction (Substance Use Disorder) Counselor
75624NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Madison County CurrentSince Apr 4, 2010 Accepting new patients

Locations

138 N Court St
#B
Wampsville, NY 13163

138 N Court St
Fl 2
Wampsville, NY 13163

Organizations & group practices 1

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1518990811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 KENLAREN CIR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121867",
            "telephone_number": "315-454-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VETERANS MEMORIAL BUILDING",
            "address_2": "NORTH COURT STREET",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "13163",
            "telephone_number": "315-366-2232",
            "fax_number": "315-366-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 S Main St Ste 106",
            "address_purpose": "LOCATION",
            "city": "North Syracuse",
            "state": "NY",
            "postal_code": "132122896",
            "country_code": "US",
            "telephone_number": "315-412-1017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALCAGNINO",
        "first_name": "DENISE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "11596",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "75624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wampsville, NY

Sources for this page

Verify at the official NPI Registry.