Individual provider Active NPI

Esperanza Davelva Belliard, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1275678278
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076319-1 Issued in NY
Practice address
651 Academy St
3 Floor
New York, NY 10034-5003
Phone
(212) 942-0043
NPI assigned
Feb 20, 2007
Last updated
Jun 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 076319-1 NY Primary

Addresses

Primary practice location

651 Academy St
3 Floor
New York, NY 10034-5003

Mailing address

159 Hawthorne Ave Apt 3G
Yonkers, NY 10705-1002
Phone (212) 942-0043

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
I20100527000676 NY Practitioner - Clinical Social Worker 4183753254 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076319NYMDSocial Worker
076319-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inwood Community Services, Inc. CurrentSince Mar 20, 2015 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Jun 1, 2015 Accepting new patients
Jewish Board of Family and Children's Services, Inc. Clinical CurrentSince Jun 1, 2015 Accepting new patients
Jewish Board of Family and Children's Services, Inc Past Accepting new patients

Locations

3600 Jerome Ave
Bronx, NY 10467
Phone (718) 366-8400

55 Westchester Sq
Bronx, NY 10461
Phone (718) 239-6149

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

938 Kings Hwy
Brooklyn, NY 11223
Phone (718) 998-3235

651 Academy St
New York, NY 10034
Phone (212) 569-2035

651 Academy St
#3
New York, NY 10034

Organizations & group practices 4

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1275678278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 HAWTHORNE AVE APT 3G",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051002",
            "telephone_number": "212-942-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ACADEMY ST",
            "address_2": "3 FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345003",
            "telephone_number": "212-942-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIARD",
        "first_name": "ESPERANZA",
        "middle_name": "DAVELVA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076319-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.