Individual provider Active NPI

Linda Terrazas, LCSW, CASAC

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1780134551
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087531-01 Issued in NY
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

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028001793 NY Practitioner - Clinical Social Worker 1052721339 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087531-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph'S Hospital Health Center CurrentSince Aug 1, 2020 Accepting new patients
St Josephs Hospital Health Center CurrentSince Aug 1, 2020 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.

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

Verify at the official NPI Registry.