Elma G Pisano, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R076949 Issued in NY

Practice address

285 E Main St Ste LL5
Smithtown, NY 11787-2980

Phone

(631) 724-0600

Fax

(631) 724-0606

NPI assigned

Sep 22, 2006

Last updated

Feb 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Smithtown Psychotherapy, LCSW PLLC

  • Mental Health Counselor
  • Smithtown, NY
  • NPI 1942633029
  Medicare reassignment NPD Authorized official
• Port Jefferson Psychological & Vocational P.C.

  • Clinical Psychologist
  • Port Jefferson Station, NY
  • NPI 1598875692
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1851491856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 E MAIN ST STE LL5",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872980",
            "telephone_number": "631-724-0600",
            "fax_number": "631-724-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E MAIN ST STE LL5",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872980",
            "telephone_number": "631-724-0600",
            "fax_number": "631-724-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISANO",
        "first_name": "ELMA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R076949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiani Theresa Pinheiro
• Betty Pinkard
• Katherine Pinto
• Justine Piper, RN
• Pauline Piraino
• PK Medical, PLLC
• Planned Parenthood Hudson Peconic
• Planned Parenthood Hudson Peconic Inc.
• Planned Parewnthood Hudson Peconic
• Christine Marie Pober, LMSW

• Clinical Social Worker in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.