Active NPI
Sara L Frunzi
- Clinical Social Worker
- Pine City, NY
National Provider Identifier
1780912634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0815581
- Practice address
- 11740 Fish Pond Rd
Pine City, NY 14871-9412 - Phone
- (607) 329-6378
- NPI assigned
- Dec 3, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Corning, NY
- NPI 1639939069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0815581 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erwin Psychiatric NP PLLC | Current | Accepting new patients |
Locations
77 E 1st St
Corning, NY 14830
Phone (607) 936-1771
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0815581 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
11740 Fish Pond Rd
Pine City, NY 14871-9412
Mailing address
11740 Fish Pond Rd
Pine City, NY 14871-9412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2017.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498780800000",
"number": "1780912634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11740 FISH POND RD",
"city": "PINE CITY",
"state": "NY",
"postal_code": "148719412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11740 FISH POND RD",
"city": "PINE CITY",
"state": "NY",
"postal_code": "148719412",
"telephone_number": "607-329-6378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUNZI",
"first_name": "SARA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-03",
"last_updated": "2017-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "0815581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.