Active NPI
Elaine R Cornelius, L.C.S.W.
- Clinical Social Worker
- Delmar, NY
National Provider Identifier
1871752238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 075835-1
- Practice address
- 230 Delaware Ave
Delmar, NY 12054-1242 - Phone
- (518) 928-1513
- NPI assigned
- Jun 2, 2008
- Last updated
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 075835-1 | NY | Primary |
Addresses
Primary practice location
230 Delaware Ave
Delmar, NY 12054-1242
Mailing address
230 Delaware Ave
Delmar, NY 12054-1242
Phone (518) 928-1513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075835-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1871752238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 DELAWARE AVE",
"city": "DELMAR",
"state": "NY",
"postal_code": "120541242",
"telephone_number": "518-928-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 DELAWARE AVE",
"city": "DELMAR",
"state": "NY",
"postal_code": "120541242",
"telephone_number": "518-928-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELIUS",
"first_name": "ELAINE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "075835-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delmar, NY
- Community Care Physicians, PC (Capital District OB/GYN)
- Community Care Physicians, PC
- Community Care Physicians, PC (Image Care Delmar)
- Community Care Physicians, PC (Community Care General Surgery - Delmar)
- Shannon Jennifer Cookfair, OTR/L
- Stephen Corley Corson Sr., RPH
- Mary C Crea, LCSW
- John L Croce, RPH
- Nicholas Crucetti
- Salvatore Joseph Crusco, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.