Individual provider Active NPI

John Dean Ossowski, LMSW

  • Social Worker
  • Utica, NY
National Provider Identifier
1790422475
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
086827-01 Issued in NY
Practice address
1600 Burrstone Rd
Utica, NY 13502-4892
Phone
(315) 792-3508
NPI assigned
May 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 086827-01 NY Primary

Addresses

Primary practice location

1600 Burrstone Rd
Utica, NY 13502-4892

Mailing address

642 E Gansevoort St
Little Falls, NY 13365-1521
Phone (315) 269-9619

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
086827-01NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1790422475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 E GANSEVOORT ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651521",
            "telephone_number": "315-269-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BURRSTONE RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024892",
            "telephone_number": "315-792-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSOWSKI",
        "first_name": "JOHN",
        "middle_name": "DEAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "086827-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.