Ellie Darmiento, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R029447-1 Issued in NY

Practice address

12516 83Rd Dr Apt 1B
Kew Gardens, NY 11415-1901

Phone

(718) 849-3971

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Queens Psychotherapy LCSW Services P.C.

  • Clinical Social Worker
  • Rego Park, NY
  • NPI 1366806705
  Medicare reassignment NPD

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1003976515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12516 83RD DR APT 1B",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151901",
            "telephone_number": "718-849-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12516 83RD DR APT 1B",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151901",
            "telephone_number": "718-849-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARMIENTO",
        "first_name": "ELLIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R029447-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D&I Dental Management
• Jonathan Dabakarov
• Amber J Dangervil, LCSW
• Daniel Barayev, DDS P.C.
• Daniel RX Inc
• Marian David, MD
• Rahamim Ben Davidov, OTR
• Rimma Davydova, FNP
• Dental Arts Kew Gardens, PC
• Dental Health Center

• Clinical Social Worker in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.