Active NPI
Abbey C Pelot, LMSW
- Social Worker
- Johnson City, NY
National Provider Identifier
1265973531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 094697-1
- Practice address
- 139 Grand Ave
Johnson City, NY 13790-1675 - Phone
- (607) 217-0066
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 094697-1 | NY | Primary |
Addresses
Primary practice location
139 Grand Ave
Johnson City, NY 13790-1675
Mailing address
86 Krager Rd
Binghamton, NY 13904-1143
Phone (315) 436-0642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094697-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1265973531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 KRAGER RD",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139041143",
"telephone_number": "315-436-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 GRAND AVE",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137901675",
"telephone_number": "607-217-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELOT",
"first_name": "ABBEY",
"middle_name": "C",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "094697-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.