Active NPI
Michael Thomas Scalzo, LMSW
- Social Worker
- New Hartford, NY
National Provider Identifier
1700486461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 109564
- Practice address
- 9429 Mallory Rd
New Hartford, NY 13413-3817 - Phone
- (315) 941-2714
- NPI assigned
- Oct 30, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 109564 | NY | Primary |
Addresses
Primary practice location
9429 Mallory Rd
New Hartford, NY 13413-3817
Mailing address
9429 Mallory Rd
New Hartford, NY 13413-3817
Phone (315) 941-2714
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 |
|---|---|---|---|
| 109564 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1700486461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9429 MALLORY RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134133817",
"telephone_number": "315-941-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9429 MALLORY RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134133817",
"telephone_number": "315-941-2714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALZO",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-30",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "109564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.