Individual provider Active NPI

Elissa Lynne Pierse, LPN

  • Clinical Social Worker
  • New Paltz, NY
National Provider Identifier
1114272564
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091580 Issued in NY
Practice address
402 State Route 32 N
New Paltz, NY 12561-3040
Phone
(845) 204-1371
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 253613-1 NY
Clinical Social Worker 1041C0700X 091580 NY Primary
Social Worker 104100000X 099338 NY

Addresses

Primary practice location

402 State Route 32 N
New Paltz, NY 12561-3040

Mailing address

402 State Route 32 N
New Paltz, NY 12561-3040
Phone (845) 204-1371

Other practice location 1

41 Page Park Dr
Poughkeepsie, NY 12603
Phone (845) 486-2950 ext. 1807

Other practice location 2

10 S Woodlawn Ave
Poughkeepsie, NY 12601-1620
Phone (845) 382-9099

Other practice location 3

10 S Woodlawn Ave
Poughkeepsie, NY 12601-1620
Phone (845) 382-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
253613-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Center for Recovery, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1114272564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 STATE ROUTE 32 N",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613040",
            "telephone_number": "845-204-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 STATE ROUTE 32 N",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613040",
            "telephone_number": "845-204-1371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Page Park Dr",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "12603",
            "country_code": "US",
            "telephone_number": "845-486-2950 x1807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 S Woodlawn Ave",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011620",
            "country_code": "US",
            "telephone_number": "845-382-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 S Woodlawn Ave",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011620",
            "country_code": "US",
            "telephone_number": "845-382-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERSE",
        "first_name": "ELISSA",
        "middle_name": "LYNNE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "253613-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091580",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.