Individual provider Active NPI

Chevon C Janczuk, LMSW

  • Social Worker
  • Rome, NY
National Provider Identifier
1942153390
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
127301-01 Issued in NY
Practice address
125 Brookley Rd
Rome, NY 13441-4301
Phone
(315) 334-7124
Fax
(315) 334-7111
NPI assigned
Feb 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 127301-01 NY Primary

Addresses

Primary practice location

125 Brookley Rd
Rome, NY 13441-4301

Mailing address

125 Brookley Rd
Rome, NY 13441-4301
Phone (315) 334-7124

Other names 1

  • Chevon C Bellarosa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
127301-01NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1942153390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BROOKLEY RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414301",
            "telephone_number": "315-334-7124",
            "fax_number": "315-334-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BROOKLEY RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414301",
            "telephone_number": "315-334-7124",
            "fax_number": "315-334-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANCZUK",
        "first_name": "CHEVON",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "127301-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEVON",
            "last_name": "BELLAROSA",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.