Individual provider Active NPI

Neal E Quartier, PHD LCSW BCD

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1932241593
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR0377651 Issued in NY
Practice address
215 N State Street
Syracuse, NY 13217-6482
Phone
(315) 470-1462
Fax
(315) 474-1045
NPI assigned
Feb 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PR0377651 NY Primary

Addresses

Primary practice location

215 N State Street
Syracuse, NY 13217-6482

Mailing address

215 N State Street
PO Box 6482
Syracuse, NY 13217-6482
Phone (315) 470-1462

Other identifiers 5

IdentifierTypeStateIssuer
YO26450OtherNYCHAMPUS
02303524MedicaidNY
7404785OtherNYVALUE OPTIONS
A1024573OtherNYVALUE BEHAVORIAL HEALTH
5847312OtherNYAETNA

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
I20040806000063 NY Practitioner - Clinical Social Worker 3274505763 Practice locations: Syracuse, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

259 E Onondaga St
Syracuse, NY 13202-2667
Phone (315) 345-9073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PR0377651NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932241593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N STATE STREET",
            "address_2": "PO BOX 6482",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132176482",
            "telephone_number": "315-470-1462",
            "fax_number": "315-474-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N STATE STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132176482",
            "telephone_number": "315-470-1462",
            "fax_number": "315-474-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARTIER",
        "first_name": "NEAL",
        "middle_name": "E",
        "credential": "PHD LCSW BCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0377651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "YO26450",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02303524",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "7404785",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE BEHAVORIAL HEALTH",
            "identifier": "A1024573",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5847312",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.