Individual provider Active NPI

John Franklin Carroll-Barbuto, LCSW

  • Clinical Social Worker
  • Delmar, NY
National Provider Identifier
1841200615
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069582 Issued in NY
Practice address
1 Burhans PL
Delmar, NY 12054-1201
Phone
(518) 369-2148
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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 069582 NY Primary

Addresses

Primary practice location

1 Burhans PL
Delmar, NY 12054-1201

Mailing address

32 Bennett Ter
Delmar, NY 12054-2936
Phone (518) 369-2148

Other identifiers 1

IdentifierTypeStateIssuer
069582OtherNYLICENSE NUMBER

Other names 1

  • Mr. John Franklin Barbuto Former name

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
I20070910000866 NY Practitioner - Clinical Social Worker 9032202890 Practice locations: Delmar, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Burhans PL
Delmar, NY 12054-1201
Phone (518) 369-2148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
069582NYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1841200615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BENNETT TER",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120542936",
            "telephone_number": "518-369-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BURHANS PL",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541201",
            "telephone_number": "518-369-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL-BARBUTO",
        "first_name": "JOHN",
        "middle_name": "FRANKLIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "069582",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "BARBUTO",
            "middle_name": "FRANKLIN",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delmar, NY

Sources for this page

Verify at the official NPI Registry.