Active NPI
Elizabeth Thorp
- Social Worker
- Geneseo, NY
National Provider Identifier
1306537600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 119728
- Practice address
- 4612 Millennium Dr
Geneseo, NY 14454-1197 - Phone
- (585) 991-5012
- NPI assigned
- May 17, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 119728 | NY | Primary |
Addresses
Primary practice location
4612 Millennium Dr
Geneseo, NY 14454-1197
Mailing address
6061 Holmes Hill Rd
Conesus, NY 14435-9712
Phone (585) 943-6546
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16-1039939 | Medicaid | NY | |
| 16-1039939 | Other | NY | ALL OTHER INSURNACES |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ethorp@buffalo.edu | Direct | |
| Direct Messaging Address | ethorp@buffalo.edu | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 119728 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1306537600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6061 HOLMES HILL RD",
"city": "CONESUS",
"state": "NY",
"postal_code": "144359712",
"telephone_number": "585-943-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4612 MILLENNIUM DR",
"city": "GENESEO",
"state": "NY",
"postal_code": "144541197",
"telephone_number": "585-991-5012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORP",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "119728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16-1039939",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL OTHER INSURNACES",
"identifier": "16-1039939",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ethorp@buffalo.edu",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4612 Millennium Dr",
"city": "Geneseo",
"state": "NY",
"country_code": "US",
"postal_code": "144541197",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ethorp@buffalo.edu",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4612 Millennium Dr",
"city": "Geneseo",
"state": "NY",
"country_code": "US",
"postal_code": "144541197",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Geneseo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.