Active NPI
Elizabeth Eichstedt Root, ACSW, LCSW-R, M.S.ED
- Clinical Social Worker
- Cortland, NY
National Provider Identifier
1518058080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RP043256-1
- Practice address
- 7 Clayton Ave
Cortland, NY 13045-2501 - Phone
- (607) 758-6110
- Fax
- (607) 758-6116
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | RP043256-1 | NY | Primary |
Addresses
Primary practice location
7 Clayton Ave
Cortland, NY 13045-2501
Mailing address
121 Hawthorne PL
Ithaca, NY 14850-5917
Phone (607) 277-4170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP043256-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518058080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 HAWTHORNE PL",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505917",
"telephone_number": "607-277-4170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CLAYTON AVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130452501",
"telephone_number": "607-758-6110",
"fax_number": "607-758-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOT",
"first_name": "ELIZABETH",
"middle_name": "EICHSTEDT",
"name_prefix": "Ms.",
"credential": "ACSW, LCSW-R, M.S.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "RP043256-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.