Individual provider Active NPI

Carrie Tirinato, LMSW

  • Clinical Social Worker
  • Owego, NY
National Provider Identifier
1962796573
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075013 Issued in NY
Practice address
1062 State Route 38
Owego, NY 13827
Phone
(607) 687-4000
Fax
(607) 687-6396
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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 075013 NY Primary

Addresses

Primary practice location

1062 State Route 38
Owego, NY 13827

Mailing address

30 Iris Dr
Apalachin, NY 13732-1533
Phone (315) 395-1157

Other identifiers 2

IdentifierTypeStateIssuer
00618162MedicaidNY
075013OtherNYLMSW LICENSE NUMBER

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
I20150509000122 NY Practitioner - Clinical Social Worker 7618296856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075013NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tioga County Health Department CurrentSince Apr 7, 2015 Accepting new patients
Tioga County Clinical Current Accepting new patients
Tioga County Clinical CurrentSince Apr 7, 2015 Accepting new patients
University at Buffalo Speech-Language & Hearing Clinic Inc Past Accepting new patients

Locations

1062 State Route 38
Owego, NY 13827
Phone (607) 687-0200

2 Sheldon Guile Blvd
Owego, NY 13827
Phone (607) 687-6261

Organizations & group practices 4

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1962796573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 IRIS DR",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "137321533",
            "telephone_number": "315-395-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 STATE ROUTE 38",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "13827",
            "telephone_number": "607-687-4000",
            "fax_number": "607-687-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRINATO",
        "first_name": "CARRIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00618162",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW LICENSE NUMBER",
            "identifier": "075013",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owego, NY

Sources for this page

Verify at the official NPI Registry.