Individual provider Active NPI

Elizabeth Maria Sanchez-West, LCSW

  • Clinical Social Worker
  • Woodside, NY
National Provider Identifier
1639334162
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101205 Issued in NY
Practice address
4610 61St St
Woodside, NY 11377-5766
Phone
(347) 642-4086
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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 101205 NY Primary

Addresses

Primary practice location

4610 61St St
Woodside, NY 11377-5766

Mailing address

1809 Seward Ave
Bronx, NY 10473-3409
Phone (646) 919-1964

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
I20251126000123 NY Practitioner - Clinical Social Worker 1850883877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care Psychology of Ny PCGroup PAC ID 0749536852, 49 clinicians

Practice addresses (Care Compare)

170 Lake St
Liberty, NY 12754-1966
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101205NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional ABA Services Inc. Social Worker CurrentSince Nov 7, 2025 Accepting new patients
Supportive Care Psychology of Ny PC CurrentSince Nov 1, 2025 Accepting new patients
Crecer Counseling Services LCSW PC Clinical CurrentSince Nov 7, 2025 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

Organizations & group practices 3

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1639334162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 SEWARD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104733409",
            "telephone_number": "646-919-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 61ST ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775766",
            "telephone_number": "347-642-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ-WEST",
        "first_name": "ELIZABETH",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "101205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.