Active NPI
Kim Paulette Caforio-Nunciato, LMSW
- School Social Worker
- Ithaca, NY
National Provider Identifier
1629346184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 041058-1
- Practice address
- 20 Enfield Main Rd
Enfield Elementary School
Ithaca, NY 14850-9367 - Phone
- (607) 274-2221
- Fax
- (607) 274-6810
- NPI assigned
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 041058-1 | NY | Primary |
Addresses
Primary practice location
20 Enfield Main Rd
Enfield Elementary School
Ithaca, NY 14850-9367
Mailing address
789 Macbean LN
Cortland, NY 13045-9387
Phone (607) 753-0994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041058-1 | Other | NY | SOCAIL WORK LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041058-1 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1629346184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 MACBEAN LN",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130459387",
"telephone_number": "607-753-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 ENFIELD MAIN RD",
"address_2": "ENFIELD ELEMENTARY SCHOOL",
"city": "ITHACA",
"state": "NY",
"postal_code": "148509367",
"telephone_number": "607-274-2221",
"fax_number": "607-274-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAFORIO-NUNCIATO",
"first_name": "KIM",
"middle_name": "PAULETTE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "041058-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCAIL WORK LICENSE NUMBER",
"identifier": "041058-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.