Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1164599007 Deactivated / Inactive NPI Female Practitioner

Ida Gregoire , LMSW RN

Social Worker • Syracuse, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ida Gregoire has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2006
NPI Deactivation Date September 09, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Ida Gregoire, LMSW RN was a registered Social Worker practicing in Syracuse, NY. Throughout an active medical career spanning 15 years, Ida Gregoire provided care at the practice location at 614 S SALINA ST until profile deactivation on 2021-09-09.

Practice Location & Contact Primary Location

Practice Address

614 S Salina St
Suite 300

Syracuse, NY 132023524

Telephone 3154250599
Fax 3154716760
Associated Practice Facility / Clinic
🏢 Ghaly Sleep Center Facility NPI 1902081995

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Syracuse, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
370 Specialists

Practicing in Syracuse, NY (23970 Statewide)

Telehealth Adoption Rate
1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY 0425861

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Nasri Ghaly , MD

Psychiatry & Neurology - Psychiatry

NPI 1063479939

Doctor of Medicine (M.D.)

NPI 1073728093

PHYSICIANASSISTANT

Julie Middleton , NPP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1114366481
Kayson Smith

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134780372
Stephanie Hughes , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1306286927

Nurse Practitioner

Kyle Groshans , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1336751627

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 09, 2021

Record deactivated on September 09, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 614 S SALINA ST, SUITE 300, SYRACUSE, NY 132023524 (Tel: 3154250599)

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Updated Business Mailing Address July 08, 2007

Registered at 1101 BURNET AVENUE, SYRACUSE, NY 13203 (Tel: 3154798012)

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Provider Name / Credentials Updated July 08, 2007

Recorded as IDA GREGOIRE, LMSW RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #0425861 in NY)

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Initial NPI Registration & Enumeration November 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164599007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: July 08, 2007
Deactivation Date: September 09, 2021

Mailing Address

1101 Burnet Avenue

Syracuse, NY 13203

Phone: 3154798012

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.