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Ethan Carilli , LMSW, CASAC-T

Social Worker β€’ Peekskill, NY

Active NPI 1700628955 Individual Practitioner Male Practitioner
Practice location in NPPES

1101 Main St
Peekskill, NY 105662907

Call 5166590406 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1101 Main St

Peekskill, NY 105662907

Telephone 5166590406
Organization at the Same NPPES Address or Phone
Westchester Jewish Community Services Inc. Facility NPI 1831887926

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Peekskill and New York

52 active clinicians are listed under Social Worker with a practice address in Peekskill, NY (23,576 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Peekskill

3.8% of these 52 clinicians have the CMS telehealth indicator.

3.8% of these 52 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-06
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES NY 124816

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Lisa Aaron , MD

Psychiatry & Neurology - Psychiatry

NPI 1316097934

Doctor of Medicine (M.D.)

Kay Griffin , LCSW

Social Worker - Clinical

NPI 1639226715

Licensed Clinical Social Worker

Bianca Ventura , LCSW

Social Worker - Clinical

NPI 1548605306

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location January 06, 2025

Registered at 1101 MAIN ST, PEEKSKILL, NY 105662907 (Tel: 5166590406)

πŸ“
Updated Business Mailing Address January 06, 2025

Registered at 845 N BROADWAY, WHITE PLAINS, NY 106032403 (Tel: 5166590406)

πŸ‘€
Provider Name / Credentials Updated January 06, 2025

Recorded as ETHAN CARILLI, LMSW, CASAC-T

πŸ‘€
Provider Name / Credentials Updated October 03, 2024

Recorded as ETHAN CARILLI, LMSW

βœ…
NPI Profile Active June 10, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 10, 2024

Registered at 275 NORTH ST, HARRISON, NY 105281140 (Tel: 5166590406)

πŸ“
Business Mailing Address (Initial Record) June 10, 2024

Registered at 65 DURHAM RD APT 4A, BRONXVILLE, NY 107085413 (Tel: 5166590406)

πŸ‘€
Provider Name / Credentials (Initial Record) June 10, 2024

Recorded as ETHAN CARILLI, MSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2024

Counselor

🟒
Initial NPI Registration & Enumeration June 10, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700628955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2024
Last Update: January 06, 2025
Sole Proprietor: No

Mailing Address

845 N Broadway

White Plains, NY 106032403

Phone: 5166590406

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.