Elyse M Demadaler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R O43725 Issued in NY

Practice address

6 Susan CT
Hyde Park, NY 12538-2218

Phone

(845) 797-2383

NPI assigned

Aug 1, 2006

Last updated

Sep 26, 2011By 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, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spectrum Psychotherapy Services LCSW PLLCGroup PAC ID 8325289192, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spectrum Psychotherapy Services LCSW, PLLC

  • Clinical Social Worker
  • Poughkeepsie, NY
  • NPI 1255496741
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1881601011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SUSAN CT",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125382218",
            "telephone_number": "845-229-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SUSAN CT",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125382218",
            "telephone_number": "845-797-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMADALER",
        "first_name": "ELYSE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R O43725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baldev G Das, MD
• Alfred Dauge, DMD
• David S Cho, MD, PLLC
• Jasmine Gloria Davis, LPN
• Janet Patricia De Long, REGISTERED NURSE
• Tracie L Dimarco, M.D.
• Mary Donatelli
• Margaret Doner, LMT
• Cathleen Rose Dowd, RN LAC
• Monica M Doyle, R.PH.

• Clinical Social Worker in Hyde Park, NY
• Providers in Hyde Park, 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 Sep 26, 2011; 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.