Individual provider Active NPI

Carol Ann Meldrim

  • Social Worker
  • Syracuse, NY
National Provider Identifier
1740197102
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1031 E Fayette St
Syracuse, NY 13210-1022
Phone
(315) 732-3431
NPI assigned
Aug 24, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NY Primary

Addresses

Primary practice location

1031 E Fayette St
Syracuse, NY 13210-1022

Mailing address

2090 Deer Run Rd
La Fayette, NY 13084-9585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1740197102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 DEER RUN RD",
            "city": "LA FAYETTE",
            "state": "NY",
            "postal_code": "130849585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 E FAYETTE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101022",
            "telephone_number": "315-732-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELDRIM",
        "first_name": "CAROL ANN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "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 Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.