Individual provider Active NPI

Evelyn Patricia Saeli, L-CSW

  • Clinical Social Worker
  • White Plains, NY
National Provider Identifier
1891850897
Registry record updated Oct 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR032304-1 Issued in NY
Practice address
154B N Broadway Apt a
White Plains, NY 10603-3634
Phone
(914) 946-1776
Fax
(914) 946-2797
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2022

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 PR032304-1 NY Primary

Addresses

Primary practice location

154B N Broadway Apt a
White Plains, NY 10603-3634

Mailing address

154B N Broadway
Apt a
White Plains, NY 10603-3656
Phone (914) 946-1772

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
I20041120000027 NY Practitioner - Clinical Social Worker 4688639552 Practice locations: White Plains, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

154 B N Broadway
Apt a
White Plains, NY 10603-3634
Phone (914) 946-1772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR032304-1NYMDClinical Social Worker
032304NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664668800000",
    "number": "1891850897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154B N BROADWAY",
            "address_2": "APT A",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033656",
            "telephone_number": "914-946-1772",
            "fax_number": "914-946-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154B N BROADWAY APT A",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033634",
            "telephone_number": "914-946-1776",
            "fax_number": "914-946-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAELI",
        "first_name": "EVELYN",
        "middle_name": "PATRICIA",
        "credential": "L-CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-10-02",
        "certification_date": "2022-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR032304-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.