Active NPI
Ellen Endick, LCSW
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1114055373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RO57165-1
- Practice address
- 1731 Seminole Ave
Bronx, NY 10461-1807 - Phone
- (718) 430-8900
- NPI assigned
- Mar 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | RO57165-1 | NY | Primary |
Addresses
Primary practice location
1731 Seminole Ave
Bronx, NY 10461-1807
Mailing address
5 McKenna PL
Mamaroneck, NY 10543-2112
Phone (914) 834-2088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO57165-1 | NY | MD | Clinical Social Worker |
| 057165 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114055373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MCKENNA PL",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105432112",
"telephone_number": "914-834-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 SEMINOLE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104611807",
"telephone_number": "718-430-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDICK",
"first_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "RO57165-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Monica Encina
- Gloria Encinas, PHARM D., RPH
- Nina Joy Catanduanes Encong, RPT
- Encouragement and Enrichment Motivational Services
- Emilienne Enders, RN
- Endicott-Union Inc
- Endicott-Union Inc (Endicott-Union Medical Equipment Supply)
- Noble Ashworth Endicott Jr., MD
- Endocrine Medical Care PC
- Endoscopy Place PC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.