Individual provider Active NPI

James C Croglio, LCSW-R

  • Clinical Social Worker
  • Cheektowaga, NY
National Provider Identifier
1700936473
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00046028 Issued in NY
Practice address
16 Columbus St
Cheektowaga, NY 14227-1251
Phone
(716) 894-2743
Fax
(716) 896-6394
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 00046028 NY Primary

Addresses

Primary practice location

16 Columbus St
Cheektowaga, NY 14227-1251

Mailing address

525 Washington St
Buffalo, NY 14203-1711
Phone (716) 856-4494

Other identifiers 1

IdentifierTypeStateIssuer
00030241501OtherNYUNIVERA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
00046028NYMDClinical Social Worker
046028NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Buffalo CurrentSince Feb 8, 1999 Accepting new patients

Locations

741 Delaware Ave
Buffalo, NY 14209

76 W Humboldt Pkwy
Buffalo, NY 14214
Phone (716) 835-9745

16 Columbus St
Cheektowaga, NY 14227
Phone (716) 894-2743

Organizations & group practices 1

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700936473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WASHINGTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031711",
            "telephone_number": "716-856-4494",
            "fax_number": "716-842-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 COLUMBUS ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271251",
            "telephone_number": "716-894-2743",
            "fax_number": "716-896-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROGLIO",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "00046028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00030241501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.