Carolyn Leigh Elacqua, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

109080-01 Issued in NY

Practice address

75 Railroad PL
Saratoga Springs, NY 12866-2124

Phone

(518) 545-4691

NPI assigned

Mar 21, 2020

Last updated

Mar 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1326674334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 RAILROAD PL",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 RAILROAD PL",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662124",
            "telephone_number": "518-545-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELACQUA",
        "first_name": "CAROLYN",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "109080-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carolyne@commonsensemh.com",
            "affiliation": "N",
            "address_1": "75 Railroad Pl",
            "city": "Saratoga Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128662124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edward Finger
• Edwin a. Davison, Jr.
• Emaan Effendi, DO
• Amy Lee Egbert Laskey, RD,CDN
• Linwood John Eichhorn, LMT
• Daniel J Eldredge, DO
• Matthew Elfner, MS, CRC, LCAS
• Erin Lin Elkins, DPT
• Elle NP in Family Health, PLLC
• Elliot-Bearce Associates CSW PC

• Clinical Social Worker in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; 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.