Mark Elba, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

RO38357-1 Issued in NY

Practice address

3 Coates Dr
Suite 8
Goshen, NY 10924-6764

Phone

(845) 291-0999

Fax

(845) 294-8921

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Albert Einstein College of Medicine of Yeshiva University, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stress Reduction and Psychological Services, PCGroup PAC ID 0749179265, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stress Reduction and Psychological Services, PC

  • Clinical Psychologist
  • Goshen, NY
  • NPI 1376607838
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083627855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COATES DR",
            "address_2": "SUITE 8",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246764",
            "telephone_number": "845-291-0999",
            "fax_number": "845-294-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COATES DR",
            "address_2": "SUITE 8",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246764",
            "telephone_number": "845-291-0999",
            "fax_number": "845-294-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBA",
        "first_name": "MARK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "RO38357-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra L Eberhard-Leal, LCSW
• Robyn Eherts
• Marilyn J Ejercito, RN, BSN, MS
• Elant at Goshen
• Elant at Goshen, Inc.
• Pamela Eliasson, LCSW
• David J Ellis, M.D.
• Elora L Kalish LCSW Psychotherapy PLLC
• Elsa D. Pascual, M.D., P.C.
• Sarah Christine Altwerger Emanuel, LCSW

• Social Worker in Goshen, NY
• Providers in Goshen, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.