Elaine Bishara Caraccioli, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074567 Issued in NY

Practice address

142 W 2ND St
1 A
Oswego, NY 13126-2547

Phone

(315) 216-4776

Fax

(315) 216-4783

NPI assigned

Apr 27, 2012

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• New Spirit Licensed Clinical Social Work, PLLC

  • Clinical Social Worker
  • Oswego, NY
  • NPI 1275978660
  NPD (past) Authorized official

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1740548775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W 2ND ST",
            "address_2": "1 A",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262547",
            "telephone_number": "315-216-4776",
            "fax_number": "315-216-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W 2ND ST",
            "address_2": "1 A",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262547",
            "telephone_number": "315-216-4776",
            "fax_number": "315-216-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARACCIOLI",
        "first_name": "ELAINE",
        "middle_name": "BISHARA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan A Callaway, RN CDE
• Corinne Marie Campbell
• Raya Campeas
• Sandra Eve Capella
• Julienne Capria, MD
• Nicole Carcone, BCBA, LBA
• Melissa Seeley Cardone, LCPC, LCAT, ATR
• Michael Carey, PA
• Wendy Layne Carguello, PT
• Carlos Dator Jr., M.D., P.C.

• Clinical Social Worker in Oswego, NY
• Providers in Oswego, 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 Jul 22, 2013; 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.

Verify at the official NPI Registry.