Eileen Ersteniuk, CSWR

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0301071 Issued in NY

Practice address

1202 Driving Park Ave
Newark, NY 14513-1086

Phone

(315) 331-2030

Fax

(315) 331-4529

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Eileen Hannan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1902826837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 NYE RD",
            "address_2": "STE 200",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899112",
            "telephone_number": "315-946-5722",
            "fax_number": "315-946-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131086",
            "telephone_number": "315-331-2030",
            "fax_number": "315-331-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERSTENIUK",
        "first_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "CSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0301071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MD449P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE & CHILD HLTH",
            "identifier": "P010030107",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "HANNAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Lorraine Eliaszewskyj, OT
• John S Ellis
• Sara Encao
• Enchanted Dialysis LLC (Newark Wayne Dialysis Center)
• Suzanne Engle, MS,CCC-SLP/L
• Sally Ann Espinosa, LMHC
• Christi Eveland, RN
• Susan Julia Miller Everdyke
• Maryann Facer
• Donna Marie Fairchild

• Social Worker in Newark, NY
• Providers in Newark, 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 May 30, 2017; 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.