Active NPI
Eleanor Dorothy Yarisse, MSW
- Clinical Social Worker
- Chelsea, MA
National Provider Identifier
1609368893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 301 Broadway
Chelsea, MA 02150-2807 - Phone
- (617) 889-4860
- NPI assigned
- Jun 4, 2018
- 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 | Primary |
Addresses
Primary practice location
301 Broadway
Chelsea, MA 02150-2807
Mailing address
301 Broadway
Chelsea, MA 02150-2807
Phone (617) 912-7914
Other names 1
- Eleanor Dorothy Easton
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7706 13TH Ave
Brooklyn, NY 11228-2414
Phone (718) 232-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooklyn Womens & Family Counseling Services LCSW PLLC | Clinical | Current | Accepting new patients |
| Eleanor D Yarisse | Clinical | Current | Accepting new patients |
Locations
7706 13th Ave
Ste 2
Brooklyn, NY 11228
Phone (718) 313-4357
7706 13th Ave
Brooklyn, NY 11228
Phone (718) 879-8844
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.
-
- Social Worker
- Brooklyn, NY
- NPI 1700837580
Clinical
-
- Clinical Social Worker
- Astoria, NY
- NPI 1366388738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1609368893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 BROADWAY",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021502807",
"telephone_number": "617-912-7914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 BROADWAY",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021502807",
"telephone_number": "617-889-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARISSE",
"first_name": "ELEANOR",
"middle_name": "DOROTHY",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELEANOR",
"last_name": "EASTON",
"middle_name": "DOROTHY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.