Individual provider Active NPI

Elaine Alison Gilmartin, LCSW

  • Clinical Social Worker
  • Greenlawn, NY
National Provider Identifier
1235452079
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079451-1 Issued in NY
Practice address
8 Hendrie LN
Greenlawn, NY 11740-1011
Phone
(631) 754-3172
Fax
(631) 239-1447
NPI assigned
Mar 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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 079451-1 NY Primary

Addresses

Primary practice location

8 Hendrie LN
Greenlawn, NY 11740-1011

Mailing address

8 Hendrie LN
Greenlawn, NY 11740-1011
Phone (631) 754-3172

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140619000956 NY Practitioner - Clinical Social Worker 6901020668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 4082089461, 64 clinicians

Practice addresses (Care Compare)

2263 James St
Suite 523
Syracuse, NY 13206-3262
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079451-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Jan 1, 2024 Accepting new patients
Brightside Medical, P.C. Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

4203 Union Deposit Rd
Harrisburg, PA 17111
Phone (223) 797-7187

Organizations & group practices 2

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": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1235452079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HENDRIE LN",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401011",
            "telephone_number": "631-754-3172",
            "fax_number": "631-239-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HENDRIE LN",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401011",
            "telephone_number": "631-754-3172",
            "fax_number": "631-239-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMARTIN",
        "first_name": "ELAINE",
        "middle_name": "ALISON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079451-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenlawn, NY

Sources for this page

Verify at the official NPI Registry.