Elisabeth D. Peralta, LADC,MSW,BSW,ASW
NPI 1114313947ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Waterbury, CT
Counselor, Addiction (Substance Use Disorder) (LADC,MSW,BSW,ASW) in Waterbury, Connecticut, licensed in CT, with an NPI issued in April 2015. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1114313947 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LADC,MSW,BSW,ASW |
| Sole proprietor | No |
| NPI issued | Apr 8, 2015 |
| Last updated in NPPES | Sep 27, 2024 |
| Certified by provider | Sep 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | — | — |
| Social Worker, Clinical | 1041C0700X | 2362 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CT) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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