Active NPI
Mary Carolyn Scheutzow, LCSW
- Clinical Social Worker
- Syracuse, NY
National Provider Identifier
1720162597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 072884-1
- Practice address
- 600 E Genesee St
217
Syracuse, NY 13202-3130 - Phone
- (315) 422-0300
- Fax
- (315) 479-8455
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 072884-1 | NY | Primary |
Addresses
Primary practice location
600 E Genesee St
217
Syracuse, NY 13202-3130
Mailing address
600 E Genesee St
217
Syracuse, NY 13202-3130
Phone (315) 422-0300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 072884-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1720162597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E GENESEE ST",
"address_2": "217",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023130",
"telephone_number": "315-422-0300",
"fax_number": "315-479-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E GENESEE ST",
"address_2": "217",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023130",
"telephone_number": "315-422-0300",
"fax_number": "315-479-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEUTZOW",
"first_name": "MARY",
"middle_name": "CAROLYN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "072884-1",
"primary": true
}
],
"identifiers": [],
"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 Dec 5, 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.