Individual provider Active NPI

Donald Albert Caserta, LCSW/LISW-S

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1730468646
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083235 Issued in NY
Practice address
951 Niagara St
Buffalo, NY 14213-2116
Phone
(716) 884-0700
Fax
(716) 884-0631
NPI assigned
Aug 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I. 0009416 SUPV OH
Clinical Social Worker 1041C0700X 083235 NY Primary

Addresses

Primary practice location

951 Niagara St
Buffalo, NY 14213-2116

Mailing address

951 Niagara St
Buffalo, NY 14213-2116
Phone (716) 884-0700

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
I. 0009416 SUPVOHMDClinical Social Worker
1986NEMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1730468646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132116",
            "telephone_number": "716-884-0700",
            "fax_number": "716-884-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132116",
            "telephone_number": "716-884-0700",
            "fax_number": "716-884-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASERTA",
        "first_name": "DONALD",
        "middle_name": "ALBERT",
        "credential": "LCSW/LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 0009416 SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.