Nellie Harasimowicz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092514 Issued in NY

Practice address

14 Rye Ridge PLZ Ste 223
Rye Brook, NY 10573-2826

Phone

(646) 598-2686

NPI assigned

Aug 21, 2018

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 21, 2023.

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1477033264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PARK DR S",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105801826",
            "telephone_number": "917-617-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RYE RIDGE PLZ STE 223",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732826",
            "telephone_number": "646-598-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARASIMOWICZ",
        "first_name": "NELLIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cecilia Guzman-del Castillo, LPN
• Paola Guzman
• Jeanne A Halloran, DPT
• Arlene Halstead, FNP
• Barbara Hannigan, REGISTERED NURSE
• Vernon Z Harris, LMT
• Julie Hartman
• Christen Kimberlee Hawthorne, RN, BSN
• Brianne Marie Healy
• Richard F. Heath, PH.D.

• All providers in Rye Brook, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.