Individual provider Active NPI

Erin Lorraine Velsini, LCSW

  • Social Worker
  • Elizabethtown, NY
National Provider Identifier
1255591087
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
080968-1 Issued in NY
Practice address
7513 Court Street
Elizabethtown, NY 12932
Phone
(518) 873-3670
Fax
(518) 873-3777
NPI assigned
Jun 16, 2008
Last updated
Dec 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 080968-1 NY Primary

Addresses

Primary practice location

7513 Court Street
Elizabethtown, NY 12932

Mailing address

7513 Court Street
Elizabethtown, NY 12932
Phone (518) 873-3670

Other identifiers 1

IdentifierTypeStateIssuer
02996789MedicaidNY

Other names 1

  • Erin Lorraine Bigelow Former name

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
I20140501000753 NY Practitioner - Clinical Social Worker 1052544830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Essex County TreasurerGroup PAC ID 1658392600, 16 clinicians

Practice addresses (Care Compare)

7513 Court St
Elizabethtown, NY 12932-0008
Phone (518) 873-3670

7551 Court St
Elizabethtown, NY 12932-2117

PO Box
Suite 8
Elizabethtown, NY 12932-0008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080968-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Essex County Treasurer CurrentSince Jan 1, 2014 Accepting new patients
Essex County Treasurer CurrentSince Jan 1, 2014 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1255591087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7513 COURT STREET",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "12932",
            "telephone_number": "518-873-3670",
            "fax_number": "518-873-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7513 COURT STREET",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "12932",
            "telephone_number": "518-873-3670",
            "fax_number": "518-873-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELSINI",
        "first_name": "ERIN",
        "middle_name": "LORRAINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "080968-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02996789",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "BIGELOW",
            "middle_name": "LORRAINE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabethtown, NY

Sources for this page

Verify at the official NPI Registry.