Charmaine Ann Fanara, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071265-1 Issued in NY

Practice address

59 Alys Dr E
Depew, NY 14043-1402

Phone

(716) 783-0407

Fax

(716) 393-3430

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Trinity Medical Wny PC

  • Vascular Surgery Physician
  • Buffalo, NY
  • NPI 1205468055
  NPD
• Trinity Medical Wny PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1295043149
  NPD
• All Care Physical Therapy Services

  • Physical Therapist
  • Buffalo, NY
  • NPI 1235390899
  NPD (past)
• Diane H Morrison MD

  • Obstetrics & Gynecology Physician
  • Williamsville, NY
  • NPI 1528149978
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1740378751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ALYS DR E",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431402",
            "telephone_number": "716-391-7356",
            "fax_number": "716-393-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ALYS DR E",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431402",
            "telephone_number": "716-783-0407",
            "fax_number": "716-393-3430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Alys Dr E",
            "address_purpose": "LOCATION",
            "city": "Depew",
            "state": "NY",
            "postal_code": "140431402",
            "country_code": "US",
            "telephone_number": "716-391-7356",
            "fax_number": "716-393-3430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANARA",
        "first_name": "CHARMAINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-11-08",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071265-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00071265-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maura Elizabeth Evanco, M.S., ED
• Kerrie Evans
• Eye Care Professionals of Western New York, LLP
• Daniela Falca
• Family Choice of New York Medical PC
• Julie Anne Fenn, LCSW
• Megan Ferger
• Nicole Marie Ferguson, MFT-P
• Kaishla Marie Fernandez, RN
• Jessica Ferraro

• Clinical Social Worker in Depew, NY
• Providers in Depew, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.