Elysian Group Practice LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

ELYSIAN GROUP PRACTICE LLC

Practice address

133 Gertrude Ave
Mamaroneck, NY 10543-1506

Phone

(718) 200-3653

NPI assigned

Mar 22, 2023

Organization subpart

No

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

Authorized official

Name

Taniesha Delph, LCSWNPI 1134620388

Title

Owner

Phone

(914) 292-0524

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taniesha Delph, LCSW

  • Clinical Social Worker
  • Forest Hills, NY
  • NPI 1134620388
  NPD Authorized official

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1871296772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 GERTRUDE AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431506",
            "telephone_number": "718-200-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 GERTRUDE AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431506",
            "telephone_number": "718-200-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN GROUP PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "DELPH",
        "authorized_official_first_name": "TANIESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-292-0524",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher John Duffy, D.D.S.
• Lucy Dybisz, PMHNP-BC
• Amanda Dyne, COTA
• Gayon R Earle
• Bianca Monique Easton
• Empower Physical Therapy & Athletic Training, PLLC
• Dominic Ephrem, DPT
• Andrew Luis Espada Sr.
• Jessica Marie Esposito, LCSW
• Rosairi Estevez

• Social Worker in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.