Individual provider Active NPI

John Harrington Enders II, MSW

  • Social Worker
  • Utica, NY
National Provider Identifier
1801288204
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
091836 Issued in NY
Practice address
507 Kent St
Utica, NY 13501-2317
Phone
(315) 797-2233
Fax
(315) 797-2244
NPI assigned
Feb 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 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 091836 NY Primary

Addresses

Primary practice location

507 Kent St
Utica, NY 13501-2317

Mailing address

7186 Dugway Rd
7186 Dugway Rd
Clinton, NY 13323-4602
Phone (315) 853-7772

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
091836NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Association for the Blind and Visually Impaired PastSince Jan 26, 2022 Accepting new patients
Central Association for the Blind, Inc. PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 2

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": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1801288204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7186 DUGWAY RD",
            "address_2": "7186 DUGWAY RD",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133234602",
            "telephone_number": "315-853-7772",
            "fax_number": "315-853-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 KENT ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012317",
            "telephone_number": "315-797-2233",
            "fax_number": "315-797-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDERS",
        "first_name": "JOHN",
        "middle_name": "HARRINGTON",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-23",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091836",
            "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 Jan 17, 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.