Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700628955 Individual Practitioner Male Practitioner

Ethan Carilli , LMSW, CASAC-T

Social Worker • Peekskill, NY

Professional Overview & Biography Verified Profile Summary

Ethan Carilli, LMSW, CASAC-T is a registered healthcare professional specializing in Social Worker in Peekskill, NY. Practice services are available at 1101 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1101 Main St

Peekskill, NY 105662907

Telephone 5166590406
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Peekskill, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.5 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
53 Specialists

Practicing in Peekskill, NY (23970 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-06
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License 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

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Duke-Perez , LPN

Licensed Practical Nurse

NPI 1003340282

Licensed Practical Nurse

Sarajane Mcguinness

Student in an Organized Health Care Education/Training Program

NPI 1023574100
NPI 1053205773

Licensed Master Social Worker

Anne Bingaman

Student in an Organized Health Care Education/Training Program

NPI 1073096491
Joan Vogt , LMSW

Social Worker

NPI 1093438665

Licensed Master Social Worker

Suzanne Delasho , LCSWR

Social Worker - Clinical

NPI 1124153184

Licensed Clinical Social Worker - Registered

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 06, 2025

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

📍
Updated Business Mailing Address January 06, 2025

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

👤
Provider Name / Credentials Updated January 06, 2025

Recorded as ETHAN CARILLI, LMSW, CASAC-T

👤
Provider Name / Credentials Updated October 03, 2024

Recorded as ETHAN CARILLI, LMSW

NPI Profile Active June 10, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2024

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

📍
Updated Business Mailing Address June 10, 2024

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

👤
Provider Name / Credentials Updated June 10, 2024

Recorded as ETHAN CARILLI, MSW

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.