Active NPI
Hannah Midlar, LCSW
- Clinical Social Worker
- Fulton, NY
National Provider Identifier
1972146116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 095886
- Practice address
- 151 N 2ND St
Fulton, NY 13069-1249 - Phone
- (315) 877-0096
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NY | ||
| Clinical Social Worker | 1041C0700X | 095886 | NY | Primary |
Addresses
Primary practice location
151 N 2ND St
Fulton, NY 13069-1249
Mailing address
61 Mitchell Ave
Mattydale, NY 13211-1500
Phone (315) 877-0096
Other names 1
- Hannah Wakeman
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
742 James St
Suite 202
Syracuse, NY 13203-2017
Phone (315) 448-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095886 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Hospital Health Center | Current | Accepting new patients | |
| St. Joseph'S Pathology, PC | Current | Accepting new patients | |
| St Joseph'S Hospital Health Center | Past | Accepting new patients |
Locations
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
742 James St
Ste 202
Syracuse, NY 13203
Phone (315) 703-2700
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1235121575
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1699832436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1972146116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 MITCHELL AVE",
"city": "MATTYDALE",
"state": "NY",
"postal_code": "132111500",
"telephone_number": "315-877-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 N 2ND ST",
"city": "FULTON",
"state": "NY",
"postal_code": "130691249",
"telephone_number": "315-877-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDLAR",
"first_name": "HANNAH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "095886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "WAKEMAN",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.