Individual provider Active NPI

Gary Paul Weinstein, LCSW-R

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1922323898
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070465-1 Issued in NY
Practice address
112 Dewittshire Rd
Syracuse, NY 13214-2209
Phone
(315) 558-2645
NPI assigned
Apr 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 070465-1 NY Primary
School Social Worker 1041S0200X 1568913 NY

Addresses

Primary practice location

112 Dewittshire Rd
Syracuse, NY 13214-2209

Mailing address

112 Dewittshire Rd
Syracuse, NY 13214-2209
Phone (315) 558-2645

Other identifiers 2

IdentifierTypeStateIssuer
070465-1OtherNYSTATE LICENSE
1568913OtherNYSCHOOL SOCIAL WORK CERTIFICATE #

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
I20100928001112 NY Practitioner - Clinical Social Worker 8820114770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4317 E Genesee St
Syracuse, NY 13214-2114
Phone (315) 313-5564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070465-1NYMDClinical Social Worker
1568913NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nine Skies Psychotherapy LCSW, PLLC Clinical CurrentSince Jul 1, 2024 Accepting new patients
Psychological Healthcare, PLLC CurrentSince Sep 1, 2010 Accepting new patients

Locations

8289 Loop Rd
Baldwinsville, NY 13027
Phone (315) 452-0300

4317 E Genesee St
Syracuse, NY 13214
Phone (315) 313-5564

3300 James St
Ste 100
Syracuse, NY 13206

3300 James St
Ste 201
Syracuse, NY 13206
Phone (315) 437-4500

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1922323898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 DEWITTSHIRE RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142209",
            "telephone_number": "315-558-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 DEWITTSHIRE RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142209",
            "telephone_number": "315-558-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "GARY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070465-1",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "1568913",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "070465-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOOL SOCIAL WORK CERTIFICATE #",
            "identifier": "1568913",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.