Individual provider Active NPI

Elizabeth Gormley Stehle, LMSW

  • Social Worker
  • North Syracuse, NY
National Provider Identifier
1982618450
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
035966 Issued in NY
Practice address
7266 Buckley Rd
Brightpath Counseling Center
North Syracuse, NY 13224
Phone
(315) 458-0919
Fax
(315) 458-0954
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 035966 NY Primary

Addresses

Primary practice location

7266 Buckley Rd
Brightpath Counseling Center
North Syracuse, NY 13224

Mailing address

170 Beattie St
Syracuse, NY 13224
Phone (315) 458-0919

Other identifiers 1

IdentifierTypeStateIssuer
01663703MedicaidNY

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
035966NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Delconte Counseling LCSW PC Social Worker PastSince Jan 28, 2024 Accepting new patients
Bright Path Center, Inc. Social Worker PastSince Aug 1, 2005 Accepting new patients

Organizations & group practices 2

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982618450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BEATTIE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13224",
            "telephone_number": "315-458-0919",
            "fax_number": "315-458-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7266 BUCKLEY RD",
            "address_2": "BRIGHTPATH COUNSELING CENTER",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "13224",
            "telephone_number": "315-458-0919",
            "fax_number": "315-458-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEHLE",
        "first_name": "ELIZABETH",
        "middle_name": "GORMLEY",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "035966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01663703",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.