Individual provider Active NPI

Alyssa Pullmain-Drollette, LCSW-R

  • Social Worker
  • Morrisonville, NY
National Provider Identifier
1740688449
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
086709 Issued in NY
Practice address
2155 Ny-22B
Morrisonville, NY 12962
Phone
(518) 563-8000
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 086709 NY Primary

Addresses

Primary practice location

2155 Ny-22B
Morrisonville, NY 12962

Mailing address

22 US Oval
Suite 100
Plattsburgh, NY 12903-5900
Phone (518) 561-1767

Other names 1

  • Alyssa Pullmain 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
I20190205003346 NY Practitioner - Clinical Social Worker 8921346693 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086709NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services North, Inc. CurrentSince Jan 3, 2019 Accepting new patients
Awakening Mountains LCSW PLLC Current Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Jan 3, 2019 Accepting new patients

Locations

2155 State Route 22B
Morrisonville, NY 12962
Phone (518) 562-3847

22 US Oval
Ste 218
Plattsburgh, NY 12903
Phone (518) 534-9666

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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1740688449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 US OVAL",
            "address_2": "SUITE 100",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129035900",
            "telephone_number": "518-561-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 NY-22B",
            "city": "MORRISONVILLE",
            "state": "NY",
            "postal_code": "12962",
            "telephone_number": "518-563-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLMAIN-DROLLETTE",
        "first_name": "ALYSSA",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "086709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "PULLMAIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrisonville, NY

Sources for this page

Verify at the official NPI Registry.