Carly McCoy

Primary specialty

Social WorkerTaxonomy code 104100000X

License

124854-01 Issued in NY

Practice address

812 State Fair Blvd Ste 2
Syracuse, NY 13209-1312

Phone

(585) 867-0054

NPI assigned

Sep 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bobbi L Petranchuk LCSW PLLC

  • Clinical Social Worker
  • Evans Mills, NY
  • NPI 1982479168
  NPD (past)

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1912733874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 DRUMLIN HEIGHTS DR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271460",
            "telephone_number": "315-335-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 STATE FAIR BLVD STE 2",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091312",
            "telephone_number": "585-867-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "CARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "124854-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar P McClinton
• Thomas Scott McCloughan, D.C.
• Barbara McClure, PH.D.
• Theresa A McConnell, LMSW
• Galen McCown, LCSW
• Katharine L. McCoy, SLP
• Monica McCoy, MS.ED
• Amy Elizabeth McCracken, CTRS
• Candace McCray
• Hadassah McCray, D.O.

• Social Worker in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.