Individual provider Active NPI

Elyse Guli, LCSW

  • Clinical Social Worker
  • Wayne, NJ
National Provider Identifier
1003528613
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05550300 Issued in NJ
Practice address
122 Baldwin Ter
Wayne, NJ 07470-3603
Phone
(201) 887-1039
NPI assigned
Dec 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05550300 NJ Primary

Addresses

Primary practice location

122 Baldwin Ter
Wayne, NJ 07470-3603

Mailing address

122 Baldwin Ter
Wayne, NJ 07470-3603
Phone (201) 887-1039

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL laptop Direct Elyse Guli Licensed Clinical Social Worker LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05550300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elyse Guli Licensed Clinical Social Worker LLC Clinical CurrentSince Apr 21, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1003528613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BALDWIN TER",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703603",
            "telephone_number": "201-887-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BALDWIN TER",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703603",
            "telephone_number": "201-887-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULI",
        "first_name": "ELYSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05550300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "Y",
            "endpointDescription": "laptop",
            "affiliationName": "Elyse Guli Licensed Clinical Social Worker LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "122 Baldwin Ter",
            "city": "Wayne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074703603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.