Individual provider Active NPI

Frank Anthony Cammarata Jr., L.C.S.W. (LICENSED C

  • Clinical Social Worker
  • Williamsville, NY
National Provider Identifier
1942325097
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR007147-1 Issued in NY
Practice address
5586 Main St
Suite G-2
Williamsville, NY 14221-5421
Phone
(716) 630-7075
Fax
(716) 630-1635
NPI assigned
Mar 20, 2007
Last updated
Nov 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PR0071471 NY
Clinical Social Worker 1041C0700X PR007147-1 NY Primary

Addresses

Primary practice location

5586 Main St
Suite G-2
Williamsville, NY 14221-5421

Mailing address

5586 Main St
Suite G-2
Williamsville, NY 14221-5421
Phone (716) 630-7075

Other identifiers 3

IdentifierTypeStateIssuer
000500591003OtherNYBCBS
00053226002OtherNYUNIVERA HEALTHCARE
6202513OtherNYIHA

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
PR0071471NYMDPsychologist
PR007147-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1942325097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5586 MAIN ST",
            "address_2": "SUITE G-2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215421",
            "telephone_number": "716-630-7075",
            "fax_number": "716-630-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5586 MAIN ST",
            "address_2": "SUITE G-2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215421",
            "telephone_number": "716-630-7075",
            "fax_number": "716-630-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMARATA",
        "first_name": "FRANK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "L.C.S.W. (LICENSED C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "PR0071471",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR007147-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000500591003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00053226002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "6202513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.