Individual provider Active NPI

Charles Zelows

  • Clinical Social Worker
  • Utica, NY
National Provider Identifier
1821647587
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075350 Issued in NY
Practice address
628 Mary St
Utica, NY 13501-2419
Phone
(315) 732-6228
Fax
(315) 732-1182
NPI assigned
Sep 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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 075350 NY Primary

Addresses

Primary practice location

628 Mary St
Utica, NY 13501-2419

Mailing address

628 Mary St
Utica, NY 13501-2419
Phone (315) 732-6228

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Utica Health Information Exchange (HIE)
CONNECT URL Utica Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200603001960 NY Practitioner - Clinical Social Worker 1052732864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Louisville School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Hartford Psychological Services, PCGroup PAC ID 0648350298, 5 clinicians

Practice addresses (Care Compare)

2307 Genesee St
Utica, NY 13501-6107
Phone (315) 223-8889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075350NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Hartford Psychological Services, PC CurrentSince Jul 1, 2021 Accepting new patients

Locations

2307 Genesee St
Utica, NY 13501
Phone (315) 223-8889

Organizations & group practices 1

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": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1821647587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 MARY ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012419",
            "telephone_number": "315-732-6228",
            "fax_number": "315-732-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 MARY ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012419",
            "telephone_number": "315-732-6228",
            "fax_number": "315-732-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELOWS",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Utica",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Utica",
            "address_1": "39 Capardo Dr",
            "city": "Whitesboro",
            "state": "NY",
            "country_code": "US",
            "postal_code": "134922938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Utica",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Utica",
            "address_1": "39 Capardo Dr",
            "city": "Whitesboro",
            "state": "NY",
            "country_code": "US",
            "postal_code": "134922938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.