Individual provider Active NPI

William Stephen Gazitano, MSW

  • Clinical Social Worker
  • Utica, NY
National Provider Identifier
1821372905
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PRO19279-1 Issued in NY
Practice address
502 Court St
Suite 401
Utica, NY 13502-4233
Phone
(315) 733-1726
Fax
(315) 733-1789
NPI assigned
Oct 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PRO19279-1 NY Primary

Addresses

Primary practice location

502 Court St
Suite 401
Utica, NY 13502-4233

Mailing address

502 Court St
Suite 401
Utica, NY 13502-4233
Phone (315) 733-1726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRO19279-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bobbi L Petranchuk LCSW PLLC Clinical PastSince Feb 18, 2024 Accepting new patients
Human Technologies Past Accepting new patients
Human Technologies Past Accepting new patients
Center for Family Life and Recovery, Inc PastSince Mar 27, 2015 Accepting new patients

Organizations & group practices 4

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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1821372905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 COURT ST",
            "address_2": "SUITE 401",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024233",
            "telephone_number": "315-733-1726",
            "fax_number": "315-733-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 COURT ST",
            "address_2": "SUITE 401",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024233",
            "telephone_number": "315-733-1726",
            "fax_number": "315-733-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZITANO",
        "first_name": "WILLIAM",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO19279-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.