Individual provider Active NPI

Michael P Elphick, LCSW

  • Clinical Social Worker
  • Henrietta, NY
National Provider Identifier
1306138110
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073973-1 Issued in NY
Practice address
1799 Lehigh Station Rd
Henrietta, NY 14467-9788
Phone
(585) 359-5236
Fax
(585) 359-5276
NPI assigned
May 11, 2011
Sex
Male
Sole proprietor
No

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
073973-1NYMDClinical Social Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 073973-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

1799 Lehigh Station Rd
Henrietta, NY 14467-9788

Mailing address

1799 Lehigh Station Rd
Henrietta, NY 14467-9788
Phone (585) 359-5236

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 11, 2011.

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1306138110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 LEHIGH STATION RD",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679788",
            "telephone_number": "585-359-5236",
            "fax_number": "585-359-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 LEHIGH STATION RD",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679788",
            "telephone_number": "585-359-5236",
            "fax_number": "585-359-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELPHICK",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073973-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.