Joanna Bogdan-Fyles, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R034387-1 Issued in NY

Legal business name

JOANNA BOGDAN-FYLES, LCSW, PLLC

Practice address

600 E Genesee St
Suite 228
Syracuse, NY 13202-3130

Phone

(315) 234-0213

Fax

(315) 234-0214

NPI assigned

Sep 29, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Joanna Paula Bogdan-Fyles, LCSWNPI 1811002405

Title

Owner

Phone

(315) 234-0213

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanna Paula Bogdan-Fyles, LCSW

  • Clinical Social Worker
  • Syracuse, NY
  • NPI 1811002405
  Medicare reassignment NPD Authorized official
• Thomas Malcolm Griffiths, PHD

  • Clinical Psychologist
  • Syracuse, NY
  • NPI 1780788703
  NPD (past)

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

{
    "created_epoch": "1191024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191024000000",
    "number": "1790972107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E GENESEE ST",
            "address_2": "SUITE 228",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023130",
            "telephone_number": "315-234-0213",
            "fax_number": "315-234-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E GENESEE ST",
            "address_2": "SUITE 228",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023130",
            "telephone_number": "315-234-0213",
            "fax_number": "315-234-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA BOGDAN-FYLES, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-29",
        "last_updated": "2007-09-29",
        "status": "A",
        "authorized_official_last_name": "BOGDAN-FYLES",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-234-0213",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R034387-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Uchi Jira, M.D.
• Nariman Jiries
• Taryn S. Jirousek, DMD
• Fathi A Jishi, MD
• Hana F Jishi, MD
• Jack Jobes
• Amanda Rose Jock
• Eric Jodlowski, DO
• Michael Jodlowski
• Alana M Joe, CRPA-P

• Clinical Social Worker in Syracuse, NY
• Providers in Syracuse, 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 Sep 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.