Douglas D Elston, L.C.S.W.-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R060853-1 Issued in NY

Practice address

1 Hospital Rd
Walton, NY 13856-1454

Phone

(607) 865-8255

Fax

(607) 865-7424

NPI assigned

Aug 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delaware County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Walton, NY
  • NPI 1740375385
  Medicare reassignment NPD
• Delaware County

  • Public Health or Welfare Agency
  • Delhi, NY
  • NPI 1154689495
  NPD

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215045570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MARVIN AVE",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561419",
            "telephone_number": "607-865-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561454",
            "telephone_number": "607-865-8255",
            "fax_number": "607-865-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSTON",
        "first_name": "DOUGLAS",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R060853-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Doig, PA-C
• Jean T Downin, OTR/L
• Paul Joseph Duprey, R.N.
• Darlene Dutko
• Thomas Francis Dwyer, L-MSW-R
• Marcia Ertola, LMHC
• Janice L Eskow, LCSW
• Jessica Nicole Essaadi
• Sibel Finn
• Patrick James Fitzpatrick

• Clinical Social Worker in Walton, NY
• Providers in Walton, 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 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.