Provider Demographics
NPI:1497035901
Name:JANIS L. SCATURO LCSW, P.C.
Entity Type:Organization
Organization Name:JANIS L. SCATURO LCSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCATURO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-471-6777
Mailing Address - Street 1:890 E BRIGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13205-2538
Mailing Address - Country:US
Mailing Address - Phone:315-471-5677
Mailing Address - Fax:315-472-2513
Practice Address - Street 1:890 E BRIGHTON AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13205-2538
Practice Address - Country:US
Practice Address - Phone:315-471-5677
Practice Address - Fax:315-472-2513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR025320-1251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY56382BMedicare UPIN