Individual provider Active NPI

April Ellis, LCSW

  • Clinical Social Worker
  • Redwood City, CA
National Provider Identifier
1104504372
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27301 Issued in CA
Practice address
1775 Woodside Rd Ste 203
Redwood City, CA 94061-3454
Phone
(415) 867-1419
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 27301 CA
Social Worker 104100000X 27301 CA
Clinical Social Worker 1041C0700X 27301 CA Primary

Addresses

Primary practice location

1775 Woodside Rd Ste 203
Redwood City, CA 94061-3454

Mailing address

124 N Idaho St
San Mateo, CA 94401-1932
Phone (415) 867-1419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240110004740 CA Practitioner - Clinical Social Worker 4880045129 Reassigns benefits to 1 organization

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
Cypress Health Licensed Clinical Social Worker IncGroup PAC ID 3971954215, 6 clinicians

Practice addresses (Care Compare)

1775 Woodside Rd
Suite 301
Redwood City, CA 94061-3458
Phone (650) 456-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Health Licensed Clinical Social Worker Inc. CurrentSince Oct 6, 2023 Accepting new patients

Locations

1775 Woodside Rd
Ste 301
Redwood City, CA 94061
Phone (650) 262-1105

1775 Woodside Rd
Ste 203
Redwood City, CA 94061
Phone (415) 867-1419

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": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1104504372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N IDAHO ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944011932",
            "telephone_number": "415-867-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 WOODSIDE RD STE 203",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613454",
            "telephone_number": "415-867-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "APRIL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "27301",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "27301",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.