Essentia Telehealth and Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ESSENTIA TELEHEALTH AND WELLNESS

Practice address

110 Mechanic St
Fayetteville, NY 13066-1333

Phone

(505) 365-1519

Fax

(315) 637-8557

NPI assigned

Jun 12, 2024

Last updated

Oct 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Enrique Antonio Rosario, LCSW-RNPI 1053467753

Title

Co-Owner

Phone

(505) 365-1519

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Enrique Antonio Rosario, LCSW-R

  • Clinical Social Worker
  • Syracuse, NY
  • NPI 1053467753
  NPD Authorized official
• Nicole Elizabeth Lovass-Nagy

  • Clinical Social Worker
  • Malone, NY
  • NPI 1366966590
  NPD

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1104668839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MECHANIC ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661333",
            "telephone_number": "505-365-1519",
            "fax_number": "315-637-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MECHANIC ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661333",
            "telephone_number": "505-365-1519",
            "fax_number": "315-637-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIA TELEHEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "505-365-1519",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Side Dental Specialists P.C.
• Alissa Easterly, PTA
• Eastside Audiology Services, LLC
• Janet Eatman, M.A., CCC-SLP
• Errol S McKenzie MD PLLC (Family Medicine Associates of Fayetteville)
• Essentia Telehealth Wellness, LCSW, PLLC
• Marlee Anne Fallon, PA-C
• Family Medical Care of Dewitt PLLC
• Sara Lou Farchione, MD
• Fateh Supply Inc

• Clinical Social Worker in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.