Individual provider Active NPI

Erica Yvette Darrisaw, LCSW-R

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1922179332
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
059240 Issued in NY
Practice address
1600 Wind Willow Way Apt 14
Rochester, NY 14624-6099
Phone
(585) 664-6563
NPI assigned
Nov 10, 2006
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 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 059240 NY Primary

Addresses

Primary practice location

1600 Wind Willow Way Apt 14
Rochester, NY 14624-6099

Mailing address

1600 Wind Willow Way Apt 14
Rochester, NY 14624-6099
Phone (585) 664-6563

Other names 1

  • Ms. Erica Y Darrisaw Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
059240NYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1922179332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WIND WILLOW WAY APT 14",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146246099",
            "telephone_number": "585-664-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WIND WILLOW WAY APT 14",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146246099",
            "telephone_number": "585-664-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARRISAW",
        "first_name": "ERICA",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "059240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "DARRISAW",
            "middle_name": "Y",
            "prefix": "MS.",
            "credential": "LCSW-R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.