Alida Crisafulli, PHD., LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R041108-1 Issued in NY

Practice address

878 New Scotland Ave
Albany, NY 12208-1129

Phone

(518) 487-4007

Fax

(518) 729-3240

NPI assigned

Dec 11, 2006

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

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

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1366502239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081129",
            "telephone_number": "518-487-4007",
            "fax_number": "518-729-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081129",
            "telephone_number": "518-487-4007",
            "fax_number": "518-729-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISAFULLI",
        "first_name": "ALIDA",
        "name_prefix": "Dr.",
        "credential": "PHD., LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R041108-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crestwood Health Inc (Crestwood Pharmacy - LTC)
• Crestwood Health Inc (Crestwood Pharmacy)
• Edward E. Cretaro, RPH
• Crews Wellness-Nurse Practitioner in Adult Health, PLLC
• Reema I Crews, NP
• Joseph A Crisafulli, D.P.M.
• Justine A. Crisafulli, RN
• Kathleen M Crisafulli, MD
• Maura Kate Crisafulli, D.O.
• Critical Care Telemedicine, PLLC

• Clinical Social Worker in Albany, NY
• Providers in Albany, 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 Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.