Individual provider Active NPI

Christine Haslam, LCSW

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1629568175
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091743 Issued in NY
Practice address
742 James St
Syracuse, NY 13203-2017
Phone
(208) 286-8062
NPI assigned
May 10, 2018
Last updated
Dec 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 091743 NY Primary
Counselor 101Y00000X 100912 NY

Addresses

Primary practice location

742 James St
Syracuse, NY 13203-2017

Mailing address

4987 S Eagle Village Rd
Manlius, NY 13104-9459
Phone (208) 286-8062

Other practice location 1

4987 S Eagle Village Rd
Manlius, NY 13104-9459
Phone (208) 286-8062

Other identifiers 1

IdentifierTypeStateIssuer
1336163963MedicaidNY

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
I20210803002059 NY Practitioner - Clinical Social Worker 6709280431 Reassigns benefits to 2 organizations
Practice locations: Fayetteville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Hospital Health CenterGroup PAC ID 9234043324, 107 clinicians

Practice addresses (Care Compare)

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 703-5200

6834 E Genesee St
Suite 2
Fayetteville, NY 13066-1021
Phone (208) 286-8062

742 James St
Syracuse, NY 13203-2017

742 James St Mental Health
Suite 201 203 M01
Syracuse, NY 13203-2017
Phone (315) 703-2700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100912NYMDCounselor
091743NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Resources Inc. CurrentSince Jul 21, 2021 Accepting new patients
St. Joseph's Pathology, PC Current Accepting new patients
St Josephs Hospital Health Center CurrentSince Mar 1, 2024 Accepting new patients
St Joseph's Hospital Health Center CurrentSince Mar 1, 2024 Accepting new patients
Liberty Resources, Inc. CurrentSince Jul 21, 2021 Accepting new patients
C. J. Haslam Behavioral Health Clinical CurrentSince Feb 11, 2024 Accepting new patients
Family Counseling Services of Cortland County, Inc. Counselor PastSince Feb 2, 2014 Accepting new patients
St Josephs Medical PC Past Accepting new patients

Locations

1045 James St
Syracuse, NY 13203
Phone (315) 425-1004

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

742 James St
Syracuse, NY 13203
Phone (315) 703-2700

Interoperability endpoints

  • Direct secure messaging: christine.haslam.p1@direct.liberty-resources.nextgenshare.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1629568175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4987 S EAGLE VILLAGE RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049459",
            "telephone_number": "208-286-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032017",
            "telephone_number": "208-286-8062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4987 S Eagle Village Rd",
            "address_purpose": "LOCATION",
            "city": "Manlius",
            "state": "NY",
            "postal_code": "131049459",
            "country_code": "US",
            "telephone_number": "208-286-8062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASLAM",
        "first_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091743",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "100912",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336163963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.