Active NPI
John Harrington Enders II, MSW
- Social Worker
- Utica, NY
National Provider Identifier
1801288204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 091836
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 091836 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Association for the Blind and Visually Impaired | Past | Accepting new patients | |
| Central Association for the Blind, Inc. | Past | 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.
-
- Early Intervention Provider Agency
- Utica, NY
- NPI 1285062232
-
- Voluntary or Charitable Agency
- Utica, NY
- NPI 1427108760
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.