Individual provider Active NPI

Elizabeth Faraglia, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1952991168
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098121 Issued in NY
Practice address
58 Saint Marks PL Apt 503
Brooklyn, NY 11217-5181
Phone
(262) 573-4004
NPI assigned
Jan 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 109535 NY
Clinical Social Worker 1041C0700X 098121 NY Primary

Addresses

Primary practice location

58 Saint Marks PL Apt 503
Brooklyn, NY 11217-5181

Mailing address

58 Saint Marks PL Apt 503
Brooklyn, NY 11217-5181
Phone (262) 573-4004

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
I20240827000394 NY Order and Referring Only - Clinical Social Worker 4688113319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098121NYMDCognitive & Behavioral Psychologist
109535NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1952991168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SAINT MARKS PL APT 503",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112175181",
            "telephone_number": "262-573-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SAINT MARKS PL APT 503",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112175181",
            "telephone_number": "262-573-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAGLIA",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109535",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.