Individual provider Active NPI

Christine Evelyn Casaceli, LCSW-R

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1649399890
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R029814-1 Issued in NY
Practice address
87 Clinton Ave N
Rochester, NY 14604-1455
Phone
(585) 546-7220
Fax
(585) 770-1116
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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 R029814-1 NY Primary

Addresses

Primary practice location

87 Clinton Ave N
Rochester, NY 14604-1455

Mailing address

87 Clinton Ave N
Rochester, NY 14604-1455
Phone (585) 546-7220

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
I20071004000708 NY Practitioner - Clinical Social Worker 2567557580 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R029814-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Catholic Charities of the Diocese of Rochester CurrentSince Jun 30, 2011 Accepting new patients

Locations

30 N Clinton Ave
Rochester, NY 14604
Phone (585) 232-1840

79 N Clinton Ave
Rochester, NY 14604
Phone (585) 546-3046

Interoperability endpoints

  • Direct secure messaging: christinecasaceli@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1649399890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 CLINTON AVE N",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146041455",
            "telephone_number": "585-546-7220",
            "fax_number": "585-770-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 CLINTON AVE N",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146041455",
            "telephone_number": "585-546-7220",
            "fax_number": "585-770-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASACELI",
        "first_name": "CHRISTINE",
        "middle_name": "EVELYN",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R029814-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.