ESSENTIA TELEHEALTH AND WELLNESS
NPI 1104668839
Social Worker - Clinical in Fayetteville, NY

Active since June 12, 2024
110 MECHANIC ST, FAYETTEVILLE, NY 13066(505) 365-1519(315) 637-8557 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2024, Jun 12, 2024 (2 updates tracked since 2024).

About Essentia Telehealth And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSENTIA TELEHEALTH AND WELLNESS (NPI 1104668839) is a healthcare organization registered as a clinical in Fayetteville, New York and active in the NPI registry since June 2024. The organization lists Enrique Antonio Rosario, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1104668839
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameESSENTIA TELEHEALTH AND WELLNESS
Location Address110 MECHANIC STFayetteville, NY 13066-1333
Mailing Address110 Mechanic StFayetteville, NY 13066-1333 · (505) 365-1519 · Fax (315) 637-8557
Fax(315) 637-8557
Organization SubpartNo
Authorized OfficialEnrique Antonio RosarioCo-owner · (505) 365-1519
Enumeration DateJune 12, 2024
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
NPI 1104668839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

110 MECHANIC ST, Fayetteville, NY 13066

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
110 MECHANIC ST
FAYETTEVILLE, NY 13066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Essentia Telehealth And Wellness's NPI number?

The NPI number for Essentia Telehealth And Wellness is 1104668839. It was assigned to this organization in the NPPES registry on June 12, 2024.

Where is Essentia Telehealth And Wellness located?

Essentia Telehealth And Wellness is located at 110 Mechanic St, Fayetteville, NY 13066. The listed phone number is (505) 365-1519.

What is Essentia Telehealth And Wellness's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Essentia Telehealth And Wellness was last updated on October 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.