Individual provider Active NPI

Mirna Hasanbegovic, LCSW

  • Clinical Social Worker
  • Utica, NY
National Provider Identifier
1952994725
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100184 Issued in NY
Practice address
1550 Champlin Ave
Utica, NY 13502-4828
Phone
(315) 794-4240
NPI assigned
Feb 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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 100184 NY Primary

Addresses

Primary practice location

1550 Champlin Ave
Utica, NY 13502-4828

Mailing address

1550 Champlin Ave
Utica, NY 13502-4828
Phone (315) 794-4240

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
I20250708001602 NY Practitioner - Clinical Social Worker 9931613437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Cerebral Palsy IncGroup PAC ID 5496734758, 30 clinicians

Practice addresses (Care Compare)

1601 Armory Dr
Utica, NY 13501-5405
Phone (315) 798-8868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Cerebral Palsy, Inc. CurrentSince May 23, 2025 Accepting new patients
Upstate Cerebral Palsy, Inc Current Accepting new patients

Locations

125 Business Park Dr
Utica, NY 13502
Phone (315) 724-6907

1002 Oswego St
Utica, NY 13502
Phone (315) 798-8868

1601 Armory Dr
Utica, NY 13501
Phone (315) 798-4006

1427 Genesee St
Utica, NY 13501
Phone (315) 738-1428

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": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1952994725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024828",
            "telephone_number": "315-794-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024828",
            "telephone_number": "315-794-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASANBEGOVIC",
        "first_name": "MIRNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.