Jeffrey Aulisi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

095470 Issued in NY

Practice address

28 Grove St
Mohawk, NY 13407-1200

Phone

(315) 866-2620

NPI assigned

Apr 13, 2021

Last updated

May 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1245810266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 3RD AVENUE EXT",
            "city": "FRANKFORT",
            "state": "NY",
            "postal_code": "133403555",
            "telephone_number": "315-868-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GROVE ST",
            "city": "MOHAWK",
            "state": "NY",
            "postal_code": "134071200",
            "telephone_number": "315-866-2620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135023508",
            "country_code": "US",
            "telephone_number": "315-868-4813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AULISI",
        "first_name": "JEFFREY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "074818-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Bello
• Susan Binney, LPN
• C.P. Rao, MD, PC
• Central Valley Central School District
• Cathleen Chauncey-Gardner, COTA

• Clinical Social Worker in Mohawk, NY
• Providers in Mohawk, 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 May 31, 2023; 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.