Individual provider Active NPI

Eleanor Einzig, LCSWR

  • Clinical Social Worker
  • Hartsdale, NY
National Provider Identifier
1649327198
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R019188 Issued in NY
Practice address
141 N Central Ave
Hartsdale, NY 10530-1912
Phone
(914) 949-7699
Fax
(914) 949-3224
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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 R019188 NY Primary

Addresses

Primary practice location

141 N Central Ave
Hartsdale, NY 10530-1912

Mailing address

141 N Central Ave
Hartsdale, NY 10530-1912
Phone (914) 949-7699

Other identifiers 2

IdentifierTypeStateIssuer
200675OtherNYHEALTHNET
140019188NY01OtherNYANTHEM

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
I20111203000184 NY Practitioner - Clinical Social Worker 6709051683 Practice locations: Rye Brook, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

55 Greenway Cir
Rye Brook, NY 10573-1503
Phone (914) 980-0249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R019188NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1649327198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N CENTRAL AVE",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301912",
            "telephone_number": "914-949-7699",
            "fax_number": "914-949-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N CENTRAL AVE",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301912",
            "telephone_number": "914-949-7699",
            "fax_number": "914-949-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EINZIG",
        "first_name": "ELEANOR",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R019188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "200675",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140019188NY01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

Verify at the official NPI Registry.