Individual provider Active NPI

Elyssa Nicole Hnatov, LCSW

  • Social Worker
  • New York, NY
National Provider Identifier
1033452792
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
086866-1 Issued in NY
Practice address
240 E 69TH St Ste 1
New York, NY 10021-5705
Phone
(646) 962-6946
NPI assigned
Apr 1, 2013
Last updated
Nov 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 086866-1 NY Primary

Addresses

Primary practice location

240 E 69TH St Ste 1
New York, NY 10021-5705

Mailing address

240 E 69TH St Ste 1
New York, NY 10021-5705
Phone (646) 962-6946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086866-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1033452792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 69TH ST STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215705",
            "telephone_number": "646-962-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 69TH ST STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215705",
            "telephone_number": "646-962-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HNATOV",
        "first_name": "ELYSSA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "086866-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.