Individual provider Active NPI

Angelisa Estepan, LCSW

  • Clinical Social Worker
  • Port Chester, NY
National Provider Identifier
1235801002
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092208 Issued in NY
Practice address
5 Grace Church St
Port Chester, NY 10573-4911
Phone
(914) 632-2737
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13077 CT
Clinical Social Worker 1041C0700X 092208 NY Primary
Social Worker 104100000X 110933 NY

Addresses

Primary practice location

5 Grace Church St
Port Chester, NY 10573-4911

Mailing address

5 Grace Church St
Port Chester, NY 10573-4911
Phone (914) 632-2737

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aestepan@odfmc.org Direct

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
I20221123000806 NY Practitioner - Clinical Social Worker 2961870977 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110933NYMDSocial Worker
092208NYMDClinical Social Worker
13077CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alssaro Counseling Services, LCSW, PLLC Clinical CurrentSince Jul 27, 2022 Accepting new patients

Locations

481 Main St
Ste 401
New Rochelle, NY 10801
Phone (914) 355-2440

Interoperability endpoints

  • Direct secure messaging: aestepan@odfmc.org

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": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1235801002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GRACE CHURCH ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734911",
            "telephone_number": "914-632-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GRACE CHURCH ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734911",
            "telephone_number": "914-632-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEPAN",
        "first_name": "ANGELISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13077",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092208",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110933",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aestepan@odfmc.org",
            "affiliation": "N",
            "endpointDescription": "Open Door",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5 Grace Church St",
            "city": "Port Chester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105734911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

Verify at the official NPI Registry.