Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Essentia Telehealth and Wellness

Organization Clinical Social Worker · NPI 1104668839

Essentia Telehealth and Wellness provides Clinical Social Worker services in Fayetteville, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

110 Mechanic St
Fayetteville, NY 13066-1333
Phone: (505) 365-1519
Fax: (315) 637-8557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1104668839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Enrique Rosario — Co-Owner · (505) 365-1519
NPI enumeratedJune 12, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address110 Mechanic St, Fayetteville, NY 13066-1333

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