Alan Robert Ellis, MSW
Individual provider Active NPI Clinical Social Worker · Montrose, NY
NPI 1124134333 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124134333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P52865 (NY)
- Practice address
- VA Hudson Valley Health Care System
Albany Post Road
Montrose, NY 10548 - Phone
- (914) 737-4400
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P52865 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P52865 | NY | Yes |
Addresses
Primary practice location
VA Hudson Valley Health Care System
Albany Post Road
Montrose, NY 10548
Mailing address
72 Jane St
Hartsdale, NY 10530-1927
Other providers in Montrose, NY
- Peter Dinoff
- Carmela Disalvo
- Millicent A Dogbe
- Kamalamma A Duvvi
- Francis P Eddy
- Nicole L Eskenasi
- Beth Evans
- Danielle Evans
- Emily Rinden Evina-Ze
- Franca Exis-Simon
All providers in Montrose, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.