Organization Active NPI

Elizabeth Cianchetti, LCSW, PLLC

  • Clinical Social Worker
  • West Babylon, NY
National Provider Identifier
1265973960
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R076342 Issued in NY
Legal business name
ELIZABETH CIANCHETTI, LCSW, PLLC
Practice address
1218 -12TH St.
West Babylon, NY 11704
Phone
(631) 835-9631
Fax
(631) 592-2816
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Ms. Elizabeth Cianchetti, LCSWNPI 1730402058
Title
Ceo
Phone
(631) 835-9631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R076342 NY Primary

Addresses

Primary practice location

1218 -12TH St.
West Babylon, NY 11704

Mailing address

654 North Wellwood Ave
Suite # D-297
Lindenhurst, NY 11704
Phone (631) 835-9631

National Provider Directory

National Provider Directory

Locations

654 Wellwood Ave
Ste D297
Lindenhurst, NY 11757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1265973960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 NORTH WELLWOOD AVE",
            "address_2": "SUITE # D-297",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "11704",
            "telephone_number": "631-835-9631",
            "fax_number": "631-592-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 -12TH ST.",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "11704",
            "telephone_number": "631-835-9631",
            "fax_number": "631-592-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH CIANCHETTI, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "CIANCHETTI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-835-9631",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R076342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.