Individual provider Active NPI

Elena Ficicchia, LCSW-R

  • Clinical Social Worker
  • Norwich, NY
National Provider Identifier
1447435102
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075730-1 Issued in NY
Practice address
5 Court St
Suite 42, County Office Building
Norwich, NY 13815-1695
Phone
(607) 337-1602
Fax
(607) 334-4519
NPI assigned
Dec 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075730-1 NY Primary

Addresses

Primary practice location

5 Court St
Suite 42, County Office Building
Norwich, NY 13815-1695

Mailing address

5 Court St
Norwich, NY 13815-1695
Phone (607) 337-1600

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
I20110203000023 NY Practitioner - Clinical Social Worker 0042490427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of ChenangoGroup PAC ID 5597658344, 12 clinicians

Practice addresses (Care Compare)

5 Court St
Suite 42
Norwich, NY 13815-1695
Phone (607) 337-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075730-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Chenango Current Accepting new patients
County of Chenango CurrentSince Nov 1, 2010 Accepting new patients
Chenango County County Treasurer CurrentSince Nov 1, 2010 Accepting new patients
Chenango County Past Accepting new patients

Locations

5 Court St
Ofc
Norwich, NY 13815
Phone (607) 337-1600

5 Court St
Norwich, NY 13815
Phone (607) 337-1600

5 Court St
Ste 42
Norwich, NY 13815
Phone (607) 337-1600

Interoperability endpoints

  • Direct secure messaging: eficicchia@ccbhs.medentdirect.com

Organizations & group practices 4

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": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1447435102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COURT ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151695",
            "telephone_number": "607-337-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COURT ST",
            "address_2": "SUITE 42, COUNTY OFFICE BUILDING",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151695",
            "telephone_number": "607-337-1602",
            "fax_number": "607-334-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICICCHIA",
        "first_name": "ELENA",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075730-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

Verify at the official NPI Registry.