Individual provider Active NPI

Elizabeth Heathcote, LCSW-R

  • Clinical Social Worker
  • Glens Falls, NY
National Provider Identifier
1801109582
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081415 Issued in NY
Practice address
27 Cunningham Ave
Glens Falls, NY 12801-2606
Phone
(518) 769-4416
Fax
(518) 218-9226
NPI assigned
Jul 22, 2010
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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 081415 NY Primary

Addresses

Primary practice location

27 Cunningham Ave
Glens Falls, NY 12801-2606

Mailing address

27 Cunningham Ave
Glens Falls, NY 12801-2606
Phone (518) 769-4416

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
I20160125000138 NY Practitioner - Clinical Social Worker 1759684855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27 Cunningham Ave
Glens Falls, NY 12801-2606
Phone (518) 769-4416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heathcote Counseling, LCSW, PLLC Clinical CurrentSince Feb 28, 2022 Accepting new patients
Adirondack Samaritan Counseling Center, Inc CurrentSince Aug 19, 1984 Accepting new patients

Locations

15 Boulevard St
Hudson Falls, NY 12839
Phone (518) 747-2994

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1801109582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CUNNINGHAM AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012606",
            "telephone_number": "518-769-4416",
            "fax_number": "518-218-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CUNNINGHAM AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012606",
            "telephone_number": "518-769-4416",
            "fax_number": "518-218-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATHCOTE",
        "first_name": "ELIZABETH",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.