Organization Active NPI

Nancy a Radecki LCSW PC

  • Clinical Social Worker
  • Liverpool, NY
National Provider Identifier
1992289623
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NANCY A RADECKI LCSW PC
Practice address
290 Elwood Davis Rd Ste 301
Liverpool, NY 13088-2127
Phone
(315) 530-7986
Fax
(315) 934-4501
NPI assigned
Sep 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Nancy A Radecki, LCSW-R
Title
Owner
Phone
(315) 530-7986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

290 Elwood Davis Rd Ste 301
Liverpool, NY 13088-2127

Mailing address

290 Elwood Davis Rd Ste 301
Liverpool, NY 13088-2127
Phone (315) 530-7986

National Provider Directory

National Provider Directory

Locations

290 Elwood Davis Rd
Ste 301
Liverpool, NY 13088
Phone (315) 530-7986

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1992289623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 ELWOOD DAVIS RD STE 301",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882127",
            "telephone_number": "315-530-7986",
            "fax_number": "315-934-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ELWOOD DAVIS RD STE 301",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882127",
            "telephone_number": "315-530-7986",
            "fax_number": "315-934-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY A RADECKI LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "RADECKI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-530-7986",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.