Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Elise Lark, PHD, LCSW, OSW-C

Individual provider Clinical Social Worker · NPI 1932600061

Dr. Elise Lark, PHD, LCSW, OSW-C is a Clinical Social Worker in Olivebridge, New York. Qualified in 2001, 25 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2018
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

172 Acorn Hill Rd
Olivebridge, NY 12461-5402
Phone: (845) 204-4450
Fax: (845) 657-2850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 070132-1 (NY)

Record details

NPI number1932600061
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCSW , OSW-C
Sole proprietorYes
NPI enumeratedFebruary 23, 2018
Last updated in NPPESFebruary 23, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Olivebridge