Elizabeth Verdesoto, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086797 Issued in NY

Practice address

502 Morris Ave
Bronx, NY 10451-5549

Phone

(718) 401-6030

Fax

(718) 401-6033

NPI assigned

Jun 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rosa Elizabeth Verdesoto Former name

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1407268998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515549",
            "telephone_number": "718-401-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515549",
            "telephone_number": "718-401-6030",
            "fax_number": "718-401-6033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "378 Union Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11211",
            "country_code": "US",
            "telephone_number": "347-401-8112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Walton Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104526901",
            "country_code": "US",
            "telephone_number": "718-681-8088 x1362",
            "fax_number": "718-681-6047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERDESOTO",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSA",
            "last_name": "VERDESOTO",
            "middle_name": "ELIZABETH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosemary Veras, LMT
• Kim Verboys
• Janisha Verdejo, M.S.
• Nancy Ann Verdejo
• Rachel Verderosa, PA-C
• Stanley Robert Verdieu Jr.
• Ashley Verdun
• Christina Danielle Vergara, LMSW
• Jessica I Vergara, M.S.
• Martha P Vergara

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, 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 Apr 19, 2019; 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.