ESSENTIA TELEHEALTH WELLNESS, LCSW, PLLC
NPI 1184459448
Social Worker - Clinical in Fayetteville, NY

Q: What is Essentia Telehealth Wellness, Lcsw, PLLC's specialty?

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

Active since September 05, 2024

110 MECHANIC ST, FAYETTEVILLE, NY 13066(505) 365-1519 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Essentia Telehealth Wellness, Lcsw, Pllc NPPES

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

ESSENTIA TELEHEALTH WELLNESS, LCSW, PLLC (NPI 1184459448) is a healthcare organization registered as a clinical in Fayetteville, New York and active in the NPI registry since September 2024. The organization lists Enrique Antonio Rosario, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1184459448

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameESSENTIA TELEHEALTH WELLNESS, LCSW, PLLC

Location Address110 MECHANIC STFayetteville, NY 13066-1333

Mailing Address110 Mechanic StFayetteville, NY 13066-1333 · (505) 365-1519

Phone(505) 365-1519

Organization SubpartNo

Authorized OfficialEnrique Antonio RosarioCo-owner · (505) 365-1519

Enumeration DateSeptember 5, 2024

NPPES CertifiedSeptember 5, 2024

✔ NPI 1184459448 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

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Essentia Telehealth Wellness, Lcsw, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Essentia Telehealth Wellness, Lcsw, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Enrique Rosario, LCSW-R

Clinical Social Worker

NPI 1053467753

200 GATEWAY PARK DR
Syracuse, NY 13212

(315) 391-7770

✔ PECOS8.8 mi

Nicole Lovass-Nagy

Clinical Social Worker

NPI 1366966590

31 6TH ST
Malone, NY 12953

(518) 483-1251

✔ PECOS153 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wellness, Lcsw, PLLC's NPI number?

The NPI number for Essentia Telehealth Wellness, Lcsw, PLLC is 1184459448. It was assigned to this organization in the NPPES registry on September 5, 2024.

Where is Essentia Telehealth Wellness, Lcsw, PLLC located?

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

What is Essentia Telehealth Wellness, Lcsw, PLLC's specialty?

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

Is Essentia Telehealth Wellness, Lcsw, PLLC enrolled in Medicare?

Yes. Essentia Telehealth Wellness, Lcsw, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Essentia Telehealth Wellness, Lcsw, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Essentia Telehealth Wellness, Lcsw, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Essentia Telehealth Wellness, Lcsw, PLLC was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.