Rene' Marie Ciaccia, LCSW-R

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

087359-1 Issued in NY

Practice address

327 Oriskany Blvd
Whitesboro, NY 13492-1422

Phone

(315) 709-2556

NPI assigned

Aug 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• New Hartford Psychiatric Services PLLC

  • Clinical Neuropsychologist
  • Whitesboro, NY
  • NPI 1619004355
  NPD (past)

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1700219995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 ORISKANY BLVD",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921422",
            "telephone_number": "315-709-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 ORISKANY BLVD",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921422",
            "telephone_number": "315-709-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIACCIA",
        "first_name": "RENE'",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "087359-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysta Carney
• Michelle L Cavo, LPN
• Marcellus R Cephas, MD
• Carl Raymond Chiasson, AU.D.
• Christopher Page Physical Therapy P.C.
• Denise K Collins, P.T.A.
• Colonial LTC Pharmacy, Inc
• Colonial Pharmacy of Whitesboro Inc
• Crystal Kim Copeland, LMSW
• Joseph Cosentino, CRNA

• Mental Health Counselor in Whitesboro, NY
• Providers in Whitesboro, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.