Individual provider Active NPI

Elise Walker-Tirado, LCSW

  • Behavior Analyst
  • New York, NY
National Provider Identifier
1407502289
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
091912 Issued in NY
Practice address
135 W 50TH St FL 6
New York, NY 10020-1201
Phone
(212) 582-9100
Fax
(212) 956-0526
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 091912 NY Primary

Addresses

Primary practice location

135 W 50TH St FL 6
New York, NY 10020-1201

Mailing address

135 W 50TH St # 6TH
New York, NY 10020-1201
Phone (212) 582-9100

Other names 1

  • Ms. Elise Walker Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250729003048 NY Practitioner - Clinical Social Worker 9830606300 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091912NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family and Children'S Services, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

135 W 50th St
Fl 6
New York, NY 10020
Phone (212) 632-4700

1765 South Ave
Staten Island, NY 10314
Phone (718) 982-6982

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1407502289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W 50TH ST # 6TH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100201201",
            "telephone_number": "212-582-9100",
            "fax_number": "212-956-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 50TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100201201",
            "telephone_number": "212-582-9100",
            "fax_number": "212-956-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER-TIRADO",
        "first_name": "ELISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "091912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "WALKER",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.