Elizabeth W Koelmel, LCSW
Individual provider Active NPI Social Worker · Marlboro, NY
NPI 1043778723 · NPPES record last updated Oct 27, 2025
Key facts
- NPI
- 1043778723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 106015 (NY)
- Practice address
- 312 Old Post Rd
Marlboro, NY 12542-6548 - Phone
- (845) 417-7490
- NPI assigned
- Mar 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106015 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 106015 | NY | Yes |
Addresses
Primary practice location
312 Old Post Rd
Marlboro, NY 12542-6548
Mailing address
312 Old Post Rd
Marlboro, NY 12542-6548
Phone (845) 417-7490
Other providers in Marlboro, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.