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MS. CHARLOTTE KAY VISSER LMSW
NPI 1699289470
Social Worker in Syracuse, NY

Active since November 30, 2017PECOS EnrolledAccepts Medicare Assignment
1045 JAMES ST, SYRACUSE, NY 13203(315) 560-8690 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Charlotte Kay Visser Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CHARLOTTE KAY VISSER LMSW (NPI 1699289470) is an individual social worker in Syracuse, New York, licensed in New York (1022371) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1699289470
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. CHARLOTTE KAY VISSERCredential: LMSW
Location Address1045 JAMES STSyracuse, NY 13203-2730
Mailing Address1045 James StSyracuse, NY 13203-2730
Phone(315) 560-8690
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 30, 2017
✔ NPI 1699289470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 1022371
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1045 JAMES ST, Syracuse, NY 13203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Charlotte Kay Visser Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406213586
PECOS Enrollment IDI20230605002742
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Charlotte Visser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Liberty Resources Inc.
Same address
Foster Care Agency
1045 JAMES ST
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 156 clinicians in this Medicare group
NPI 1447821376 (315) 472-4471

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA ROSA VERGARA LCSW
Social Worker (Clinical)
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 472-4471
PATRICE KELSEY JEAN M.S., CF-SLP
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 425-1004
ALIDA ANNE DEJONG NP
Nurse Practitioner (Family)
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 472-4471
LAURA ZAFERAKIS M.S., SPEC.ED.
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 425-1004
EMILY DOREY LPN
Licensed Practical Nurse
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 413-7865
MS. BRYNNA ROSE TOMASSONE M.S.
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 425-1004
MRS. ALEXANDRA RENEE CHURCH LMSW
Social Worker
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 425-1004
MRS. LINDSEY WEBSTER LCSW
Social Worker (Clinical)
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 472-4471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlotte Visser's NPI number?

The NPI number for Charlotte Visser is 1699289470. It was assigned to this individual provider in the NPPES registry on November 30, 2017.

Where is Charlotte Visser located?

Charlotte Visser practices at 1045 James St, Syracuse, NY 13203. The listed phone number is (315) 560-8690.

What is Charlotte Visser's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Charlotte Visser enrolled in Medicare?

Yes. Charlotte Visser is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Charlotte Visser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlotte Visser reassigns Medicare benefits to Liberty Resources Inc. (Syracuse, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charlotte Visser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charlotte Visser was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.