Individual provider Active NPI

William C Redfield, MSW, M. DIV.

  • Clinical Social Worker
  • Fayetteville, NY
National Provider Identifier
1598977571
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R043841 Issued in NY
Practice address
106 Chapel St
Fayetteville, NY 13066-2004
Phone
(315) 637-2613
NPI assigned
May 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R043841 NY Primary

Addresses

Primary practice location

106 Chapel St
Fayetteville, NY 13066-2004

Mailing address

229 Ledyard Ave
Fayetteville, NY 13066-2216
Phone (315) 637-3019

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R043841NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598977571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 LEDYARD AVE",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130662216",
            "telephone_number": "315-637-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CHAPEL ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130662004",
            "telephone_number": "315-637-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFIELD",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "MSW, M. DIV.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.