Individual provider Active NPI

Paula M. Elliott-Gilroy, LCSW -R

  • Clinical Social Worker
  • Moriches, NY
National Provider Identifier
1073907358
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088710 Issued in NY
Practice address
346 Montauk Hwy Ste 1a
Moriches, NY 11955-1439
Phone
(631) 281-4461
NPI assigned
Mar 24, 2015
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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 091047 NY
Clinical Social Worker 1041C0700X 088710 NY Primary

Addresses

Primary practice location

346 Montauk Hwy Ste 1a
Moriches, NY 11955-1439

Mailing address

119 B la Bonne Vie Drive
Patchogue, NY 11772
Phone (631) 413-7197

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
I20200212000457 NY Practitioner - Clinical Social Worker 2567898471 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sr Medical Services PLLCGroup PAC ID 2668832379, 11 clinicians

Practice addresses (Care Compare)

1400 Old Country Rd
Suite 200a
Westbury, NY 11590-5112
Phone (833) 350-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091047NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sr Medical Services PLLC CurrentSince Dec 1, 2023 Accepting new patients
Community Counseling & LCSW Services PC Clinical CurrentSince Oct 1, 2021 Accepting new patients
New Beginnings Counseling Services LCSW PC CurrentSince Jul 16, 2025 Accepting new patients
Qureshi Medical Services PLLC PastSince Dec 1, 2024 Accepting new patients
Colonial Youth & Family Services Past Accepting new patients

Locations

234 Montauk Hwy
Ctr Moriches, NY 11934
Phone (631) 874-0185

1905 Route 112
Unit 1013
Medford, NY 11763
Phone (631) 413-7197

1400 Old Country Rd
Ste 103N
Westbury, NY 11590
Phone (516) 408-8820

1400 Old Country Rd
Ste 200A
Westbury, NY 11590
Phone (833) 350-8255

Interoperability endpoints

  • Direct secure messaging: communityminds.paulaelliotgilroy@160687.advancedmd-direct.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1073907358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 B LA BONNE VIE DRIVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-413-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 MONTAUK HWY STE 1A",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119551439",
            "telephone_number": "631-281-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT-GILROY",
        "first_name": "PAULA",
        "middle_name": "M.",
        "credential": "LCSW -R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091047",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moriches, NY

Sources for this page

Verify at the official NPI Registry.