Individual provider Active NPI

Eleanor Dorothy Yarisse, MSW

  • Clinical Social Worker
  • Chelsea, MA
National Provider Identifier
1609368893
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jun 4, 2018

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 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 Former name

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
I20230328000802 NY Practitioner - Clinical Social Worker 2668846999 Reassigns benefits to 1 organization

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
Brooklyn Womens and Family Counseling Services LCSW PLLCGroup PAC ID 5496645921, 21 clinicians

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

OrganizationSpecialtyStatusNew patients
Brooklyn Womens & Family Counseling Services LCSW PLLC Clinical CurrentSince Feb 1, 2023 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.

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

Verify at the official NPI Registry.