Active NPI
Sue Elias, L.C.S.W.
- Clinical Social Worker
- New York, NY
National Provider Identifier
1013088475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR023475-1
- Practice address
- 201 E 83Rd St
Apt#11B
New York, NY 10028-2851 - Phone
- (212) 879-7490
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR023475-1 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 44C01469300 | NJ |
Addresses
Primary practice location
201 E 83Rd St
Apt#11B
New York, NY 10028-2851
Mailing address
201 E 83Rd St
Apt#11B
New York, NY 10028-2851
Phone (212) 879-7490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P706566 | Other | NY | OXFORD PROVIDER ID |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040528001346 | NY | Practitioner - Clinical Social Worker | 0840271334 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Tulane University School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
160 E 84TH St
Apt 2K
New York, NY 10028-2013
Phone (212) 879-7490
201 E 83Rd St
Apt 11B
New York, NY 10028-2870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023475 | NY | MD | Clinical Psychologist |
| 44C01469300 | NJ | MD | Clinical Social Worker |
| PR023475-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013088475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E 83RD ST",
"address_2": "APT#11B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100282851",
"telephone_number": "212-879-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E 83RD ST",
"address_2": "APT#11B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100282851",
"telephone_number": "212-879-7490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIAS",
"first_name": "SUE",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR023475-1",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44C01469300",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER ID",
"identifier": "P706566",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.