Elissa Stern, LCSW, MPH

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0709551 Issued in NY

Practice address

930 Mamaroneck Ave
Mamaroneck, NY 10543-1629

Phone

(914) 381-6110

NPI assigned

Jul 11, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1386843316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GRAND ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015606",
            "telephone_number": "914-381-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MAMARONECK AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431629",
            "telephone_number": "914-381-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "ELISSA",
        "credential": "LCSW, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0709551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Star, O.T.R.
• Celeste Jean Staropoli, RPH
• Gabriela Stastny
• Davine Steer
• Carol Roscoe Sterk, LCSW
• Joan Stern, PSY D
• Ella Storey, PSYD
• Alyssa Maureen Strickland
• Madelyn Carol Strickland, LPN
• Elizabeth Suvanto

• Clinical Social Worker in Mamaroneck, NY
• Providers in Mamaroneck, 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 Jul 11, 2007; 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.