The Bereavement Center, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE BEREAVEMENT CENTER, INC.

Practice address

2310 Genesee St
Utica, NY 13502-5810

Phone

(315) 765-0456

Fax

(315) 765-0457

NPI assigned

Jan 30, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Shenberger, LCSW

Title

Executive Director

Phone

(315) 765-0456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1264809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264809600000",
    "number": "1902138043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025810",
            "telephone_number": "315-765-0456",
            "fax_number": "315-765-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025810",
            "telephone_number": "315-765-0456",
            "fax_number": "315-765-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEREAVEMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-30",
        "last_updated": "2010-01-30",
        "status": "A",
        "authorized_official_last_name": "SHENBERGER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-765-0456",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Utica, NY
• Providers in Utica, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.