Individual provider Active NPI

Eleni Galiatsos, LCSW-R

  • Clinical Social Worker
  • White Plains, NY
National Provider Identifier
1154581494
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
047699-R Issued in NY
Practice address
34 S Broadway
Suite #202
White Plains, NY 10601-4400
Phone
(917) 797-3552
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 047699-R NY Primary

Addresses

Primary practice location

34 S Broadway
Suite #202
White Plains, NY 10601-4400

Mailing address

22 Woodlawn Ave
Yonkers, NY 10704-4346
Phone (917) 797-3552

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
047699-RNYMDClinical Social Worker
047699NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1154581494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WOODLAWN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044346",
            "telephone_number": "917-797-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S BROADWAY",
            "address_2": "SUITE #202",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014400",
            "telephone_number": "917-797-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALIATSOS",
        "first_name": "ELENI",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "047699-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.