Individual provider Active NPI

Susan Jean Alguire, LCSWR

  • Clinical Social Worker
  • Utica, NY
National Provider Identifier
1982930210
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073659-1 Issued in NY
Practice address
1231 Green St # 2
Utica, NY 13502-3946
Phone
(315) 796-4497
Fax
(315) 797-6066
NPI assigned
Oct 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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 073659-1 NY Primary

Addresses

Primary practice location

1231 Green St # 2
Utica, NY 13502-3946

Mailing address

1231 Green St # 2
Utica, NY 13502-3946
Phone (315) 796-4497

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
I20180621001860 NY Practitioner - Clinical Social Worker 4183979719 Practice locations: New York Mills, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073659-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1982930210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 GREEN ST # 2",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023946",
            "telephone_number": "315-796-4497",
            "fax_number": "315-797-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 GREEN ST # 2",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023946",
            "telephone_number": "315-796-4497",
            "fax_number": "315-797-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALGUIRE",
        "first_name": "SUSAN",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073659-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.