Individual provider Active NPI

Nicole Bari Erlichman, LCSW-R

  • Clinical Social Worker
  • Pittsford, NY
National Provider Identifier
1992212799
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO73890-1 Issued in NY
Practice address
121 Sullys TRL Ste 8
Pittsford, NY 14534-4570
Phone
(315) 422-0300
Fax
(833) 449-5098
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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 RO73890-1 NY Primary

Addresses

Primary practice location

121 Sullys TRL Ste 8
Pittsford, NY 14534-4570

Mailing address

556 Clinton Ave S
Rochester, NY 14620-1105
Phone (585) 442-8422

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
I20190624000680 NY Practitioner - Clinical Social Worker 6002140167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry Services of New York, PCGroup PAC ID 9133534340, 34 clinicians

Practice addresses (Care Compare)

121 Sullys TRL
Suite 8
Pittsford, NY 14534-4570
Phone (315) 422-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO73890-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry Services of New York, P.C. Clinical CurrentSince Oct 11, 2025 Accepting new patients
Psychiatry Services of New York PC CurrentSince Oct 11, 2025 Accepting new patients

Locations

8289 Loop Rd
Baldwinsville, NY 13027
Phone (315) 452-0300

121 Sullys Trl
Ste 8
Pittsford, NY 14534

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28623/brand/6/csg/1/fhir/r4

Organizations & group practices 3

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": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1992212799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201105",
            "telephone_number": "585-442-8422",
            "fax_number": "585-442-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SULLYS TRL STE 8",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344570",
            "telephone_number": "315-422-0300",
            "fax_number": "833-449-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERLICHMAN",
        "first_name": "NICOLE",
        "middle_name": "BARI",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO73890-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.