Paige Nicole Ellison, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

094136 Issued in NY

Practice address

950 S Oyster Bay Rd
Hicksville, NY 11801-3510

Phone

(516) 822-6111

NPI assigned

Jan 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Nassau Guidance & Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Hicksville, NY
  • NPI 1114928462

  Clinical

  Medicare reassignment NPD
• Paige Ellison, LCSW PLLC

  • Clinical Social Worker
  • Astoria, NY
  • NPI 1891501680
  NPD Authorized official
• Sus Mental Health Programs, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1053696195

  Clinical

  NPD (past)

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1124582168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013510",
            "telephone_number": "516-822-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013510",
            "telephone_number": "516-822-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112382669",
            "country_code": "US",
            "telephone_number": "347-226-9025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "PAIGE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "1055871",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayah Elkady
• Mehreen Ellahi, PHARM D
• Elliot T Udell DPM PC
• Jeffrey Ira Ellis, M.D.
• Rachel Fremder Ellis, M.D.
• Victoria Rose Elwell
• Epilepsy Foundation of Li
• Epiq Medical, PC
• Daryl Scott Ernest, REG. NURSE
• Robert John Ervolino, D.C., H.I.S.

• Clinical Social Worker in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.