Elizabeth Marie Eggleston, LCSW, CASAC II

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103890 Issued in NY

Practice address

458 E Main St
Malone, NY 12953-2149

Phone

(518) 319-2388

NPI assigned

May 28, 2020

Last updated

Jul 6, 2022By the provider in NPPES

Sex

Female

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

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1225651946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST JOSEPH'S ADDICTION TREATMENT AND RECOVERY CENTERS",
            "address_2": "458 EAST MAIN ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "12953",
            "telephone_number": "518-319-2388",
            "fax_number": "518-481-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 E MAIN ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129532149",
            "telephone_number": "518-319-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "LCSW, CASAC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2022-07-06",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "103890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Durant
• James A Durling, CRNA
• Ashley Dustin
• Leisa Kay Dwyer, RN
• Brandon D Eggleston
• Darby Eldridge
• Kristin L Ellis-Wood, RD, CDN
• Tara Lynn Ellis, RN
• Gary Frank Epstein, DDS
• Jessica Euber, RN

• Clinical Social Worker in Malone, NY
• Providers in Malone, 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 6, 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.