Individual provider Active NPI

Joanne Grieco McPherson, CSW

  • Clinical Social Worker
  • Utica, NY
National Provider Identifier
1831143643
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070989-1 Issued in NY
Practice address
1427 Genesee St
Utica, NY 13501-4343
Phone
(315) 738-1428
Fax
(315) 738-1461
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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 070989-1 NY Primary

Addresses

Primary practice location

1427 Genesee St
Utica, NY 13501-4343

Mailing address

1020 Mary St
Utica, NY 13501-1930
Phone (315) 724-6907

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
I20050908000809 NY Practitioner - Clinical Social Worker 6608808803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upstate Cerebral Palsy IncGroup PAC ID 5496734758, 30 clinicians

Practice addresses (Care Compare)

1601 Armory Dr
Utica, NY 13501-5405
Phone (315) 798-8868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070989-1NYMDClinical Social Worker
070989NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Cerebral Palsy, Inc CurrentSince Jun 13, 2002 Accepting new patients
Upstate Cerebral Palsy, Inc. CurrentSince Jun 13, 2002 Accepting new patients

Locations

207 W Dominick St
Rome, NY 13440
Phone (315) 337-0773

125 Business Park Dr
Utica, NY 13502
Phone (315) 724-6907

1020 Mary St
Utica, NY 13501
Phone (315) 724-6907

1601 Armory Dr
Utica, NY 13501
Phone (315) 798-4006

1427 Genesee St
Utica, NY 13501
Phone (315) 738-1428

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1831143643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MARY ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011930",
            "telephone_number": "315-724-6907",
            "fax_number": "315-733-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135014343",
            "telephone_number": "315-738-1428",
            "fax_number": "315-738-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "JOANNE",
        "middle_name": "GRIECO",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070989-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.