Elicha Almonord, LMSW
Individual provider Active NPI Clinical Social Worker · Rome, NY
NPI 1639825995 · NPPES record last updated Feb 25, 2022
Key facts
- NPI
- 1639825995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 114040 (NY)
- Practice address
- 6676 Potter Rd
Rome, NY 13440-2016 - Phone
- (631) 909-9729
- NPI assigned
- Feb 25, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114040 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 114040 | NY | Yes |
Addresses
Primary practice location
6676 Potter Rd
Rome, NY 13440-2016
Mailing address
PO Box 673
Central Islip, NY 11722-0673
Phone (617) 784-4860
Other providers in Rome, NY
- Brian C Alessi
- Robert E Alessi
- Rachael Alexander
- Casey Lynn Allen
- Lindsay Allen
- Donia Alnasser
- Amcare Ambulance Service Inc.
- American Linx
- Jeffrey D Amidon
- Leo Ismaila Amodu
All providers in Rome, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.