Eleanor Ponce, L.C.S.W-R

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

554036941 Issued in NY

Practice address

795 Wisconsin Ave
Bay Shore, NY 11706-2336

Phone

(631) 434-2401

NPI assigned

Oct 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1104136308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 PETERS BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064801",
            "telephone_number": "631-647-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 WISCONSIN AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062336",
            "telephone_number": "631-434-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "ELEANOR",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "554036941",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R035920-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Polidoro, PA
• Vincent Polo, PA
• Shedely Polynice
• Max Ricardo Pommier Jr., D.O.
• Escarleth Adony Ponce Fuentes
• Justin Kafut Poon, M.D
• Jennifer Port
• Nicholas Posillico, PT
• Mehul Pragani, MD
• Prefer Tech Inc

• School Social Worker in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.