Individual provider Active NPI

Sue Elias, L.C.S.W.

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1013088475
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR023475-1 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P706566OtherNYOXFORD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
023475NYMDClinical Psychologist
44C01469300NJMDClinical Social Worker
PR023475-1NYMDClinical 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

Verify at the official NPI Registry.