Individual provider Active NPI

Elsa Barkhordarian, LCSW

  • Clinical Social Worker
  • Great Neck, NY
National Provider Identifier
1942817630
Registry record updated Sep 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089172 Issued in NY
Practice address
15 Canterbury Rd
Great Neck, NY 11021-2610
Phone
(516) 587-1950
NPI assigned
Sep 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2020

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 089172 NY Primary

Addresses

Primary practice location

15 Canterbury Rd
Great Neck, NY 11021-2610

Mailing address

15 Canterbury Rd
Great Neck, NY 11021-2610
Phone (516) 587-1950

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
I20201214002851 NY Practitioner - Clinical Social Worker 6204248396 Practice locations: Great Neck, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

505 Northern Blvd
Suite 104
Great Neck, NY 11021-5108
Phone (516) 587-1950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089172NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Within Psychotherapy LCSW PC CurrentSince Jan 26, 2022 Accepting new patients

Locations

505 Northern Blvd
Ste 104
Great Neck, NY 11021
Phone (516) 587-1950

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1942817630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CANTERBURY RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212610",
            "telephone_number": "516-587-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CANTERBURY RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212610",
            "telephone_number": "516-587-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKHORDARIAN",
        "first_name": "ELSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.