Individual provider Active NPI

Eleanor Solch-Fuller, LCSW

  • School Social Worker
  • Cold Spring Harbor, NY
National Provider Identifier
1598036006
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
R056244-1 Issued in NY
Practice address
75 Goose Hill Rd
Cold Spring Harbor, NY 11724-1318
Phone
(631) 367-5940
NPI assigned
Jan 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X R056244-1 NY Primary

Addresses

Primary practice location

75 Goose Hill Rd
Cold Spring Harbor, NY 11724-1318

Mailing address

75 Goose Hill Rd
Cold Spring Harbor, NY 11724-1318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 9, 2018 through Jan 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R056244-1NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cold Spring Harbor Central School District Past Accepting new patients

Organizations & group practices 1

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": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1598036006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GOOSE HILL RD",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117241318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GOOSE HILL RD",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117241318",
            "telephone_number": "631-367-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLCH-FULLER",
        "first_name": "ELEANOR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "R056244-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cold Spring Harbor, NY

Sources for this page

Verify at the official NPI Registry.