Active NPI
Linda Terrazas, LCSW, CASAC
- Clinical Social Worker
- Syracuse, NY
National Provider Identifier
1780134551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 087531-01
- Practice address
- 2700 Bellevue Ave
Syracuse, NY 13219-3238 - Phone
- (315) 317-2179
- NPI assigned
- Oct 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 087531-01 | NY | Primary |
Addresses
Primary practice location
2700 Bellevue Ave
Syracuse, NY 13219-3238
Mailing address
103 Rose Lane Ter
Syracuse, NY 13219-2845
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087531-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph'S Hospital Health Center | Current | Accepting new patients | |
| St Josephs Hospital Health Center | Current | Accepting new patients | |
| Central New York Services, Inc. | Past | Accepting new patients | |
| Central New York Services, Inc. | Past | Accepting new patients |
Locations
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
742 James St
Syracuse, NY 13203
Phone (315) 703-2700
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1699832436
-
- Multi-Specialty Clinic/Center
- Utica, NY
- NPI 1407363492
-
- Adult Mental Health Clinic/Center
- Syracuse, NY
- NPI 1821491903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1780134551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 ROSE LANE TER",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132192845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 BELLEVUE AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132193238",
"telephone_number": "315-317-2179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRAZAS",
"first_name": "LINDA",
"credential": "LCSW, CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-05",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087531-01",
"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 27, 2022; 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.