Grace Puchalski, LCSW-

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R046862 Issued in NY

Practice address

913 Old Liverpool Rd
Suite K
Liverpool, NY 13088-5757

Phone

(315) 278-4523

NPI assigned

Apr 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walk With Grace

  • Clinical Social Worker
  • N Syracuse, NY
  • NPI 1336519172
  NPD Authorized official
• Delconte Counseling LCSW PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • N Syracuse, NY
  • NPI 1427810787
  NPD (past)
• Syracuse Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Syracuse, NY
  • NPI 1497796353
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1649234964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SUNFLOWER DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885646",
            "telephone_number": "315-278-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 OLD LIVERPOOL RD",
            "address_2": "SUITE K",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885757",
            "telephone_number": "315-278-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCHALSKI",
        "first_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "LCSW-",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R046862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - WALK WITH GRACE",
            "identifier": "1336519172",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DEPT. OF EDUCATION",
            "identifier": "R046862",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Proactive of Pennsylvania PC (PROActive Physical Therapy)
• Probe Health Services
• Charles David Prosser, PT
• Linda Anne Pryor, FNP
• Ptvaluenet LLC
• Krista L. Puffer, DPT
• Tricia A Pugliese
• Pullano Dental of Clay
• Pullano Dental of Clay, PC (Orion Dental)
• Karen Sue Pulvino, MSN,ANP-C

• Clinical Social Worker in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.