Ibtissam Elboukhari, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

111875-01 Issued in NY

Practice address

530 Franklin St
Schenectady, NY 12305-2008

Phone

(518) 292-5499

NPI assigned

Oct 13, 2020

Last updated

Feb 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1346848389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 ACADEMY ROAD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083103",
            "telephone_number": "518-292-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 FRANKLIN ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052008",
            "telephone_number": "518-292-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBOUKHARI",
        "first_name": "IBTISSAM",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P106861",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "111875-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Egnaczyk, CCC-SLP
• Edward A Ehrlich, OD
• Kirsten Eidle-Barkman, PSY.D.
• Lawrence B Eisenberg, M.D.
• Neil Ekengren, PA
• Meghan Elkin, RN
• Barbara A Elliott Capogna, CRNA
• Joanne Laurie Elliott, LMHC
• Kimberly Elliott, LCSW-R
• Ellis Hospital (Ellis Primary Care Plus)

• Social Worker in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.