Active NPI
Joseph Charles Masterleo, LCSW - DCSW
- Clinical Social Worker
- Syracuse, NY
National Provider Identifier
1700937182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R021307 - 1
- Practice address
- 112 Dewitt St
Suite 103
Syracuse, NY 13203-2890 - Phone
- (314) 415-4880
- Fax
- (315) 469-4474
- NPI assigned
- Jan 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R021307 - 1 | NY | Primary |
Addresses
Primary practice location
112 Dewitt St
Suite 103
Syracuse, NY 13203-2890
Mailing address
112 Dewitt St
Suite 103
Syracuse, NY 13203-2890
Phone (314) 415-4880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5112 | Other | NY | EXCELLUS, BLUECROSS-BLUES |
| 317553 | Other | NY | MVP HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
112 Dewitt St
Suite 103
Syracuse, NY 13203-2818
112 Dewitt St
Suite 103
Syracuse, NY 13203-2827
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R021307 - 1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700937182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 DEWITT ST",
"address_2": "SUITE 103",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032890",
"telephone_number": "314-415-4880",
"fax_number": "315-469-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 DEWITT ST",
"address_2": "SUITE 103",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032890",
"telephone_number": "314-415-4880",
"fax_number": "315-469-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERLEO",
"first_name": "JOSEPH",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "LCSW - DCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R021307 - 1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS, BLUECROSS-BLUES",
"identifier": "5112",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "317553",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, 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.
- 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.