EASTSIDECOUNSELINGSERVICESSYRACUSE (NPI# 1982070520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982070520 |
| Entity Type | Organization |
| Organization Name | EASTSIDECOUNSELINGSERVICESSYRACUSE |
| Other Organization Name | EASTSIDECOUNSELINGSERVICES |
| Practice Address |
216 Pelham Rd Syracuse NY 13214-1621 |
| Practice Telephone | 2156068654 |
| Mailing Telephone | 2156068654 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Authorized Official Name | MARGARET WEST KELLY (CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 2156068654 |
| Authorized Official Credential | LCSW-R |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
077677-1 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R018157-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PRIVATE INSURANCE | 1538446703 | 01 |
| NY | PRIVATE INSURANCE | 1235220401 | 01 |
| Other Name | Type Code |
|---|---|
| eastsidecounselingservices | Doing Business As Name - Organization |
| Street Address |
216 PELHAM RD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13214-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1063023265 | Jessica Kaye Bouges | Social Worker | 821 E Brighton Ave Apt 802, Syracuse, NY 13205-2508 | 2020-08-11 |
| 1164044087 | Ednita Marie Wright | Social Worker | 135 Alanson Rd, Syracuse, NY 13207-1503 | 2020-05-13 |
| 1801416383 | Sara Danielle Mcalister | Social Worker | 5133 Kasson Rd, Syracuse, NY 13215-8623 | 2020-04-24 |
| 1598392110 | Jean M Burdick | Social Worker | 6900 Thompson Rd, Syracuse, NY 13211-1328 | 2020-03-24 |
| 1013491737 | Patrick Alvin Ryan | Social Worker | 602 Crossett St, Syracuse, NY 13207-1250 | 2018-09-18 |
| 1881182020 | Diandra Morse | Social Worker | 3532 James St Ste 112, Syracuse, NY 13206-2547 | 2018-04-24 |
| 1083122311 | Amber Oliver | Social Worker | 307 Cambridge Ave, Syracuse, NY 13208-1446 | 2018-01-22 |
| 1700394152 | Celia Kamps, Lcsw, Pllc | Social Worker | 2507 James St Ste 206, Syracuse, NY 13206-2825 | 2018-01-19 |
| 1699283770 | Karla Beth Murphy | Social Worker | 635 Madison Street, Syracuse, NY 13210 | 2018-01-11 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.