Ellen A. Siber, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R029067-1 Issued in NY

Practice address

10 Friendly LN
Jericho, NY 11753-2331

Phone

(516) 931-7367

Fax

(516) 938-5400

NPI assigned

Apr 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Counseling Resources LCSW PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jericho, NY
  • NPI 1407029549
  NPD (past) Authorized official

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1215100359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FRIENDLY LN",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532331",
            "telephone_number": "516-931-7367",
            "fax_number": "516-938-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FRIENDLY LN",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532331",
            "telephone_number": "516-931-7367",
            "fax_number": "516-938-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBER",
        "first_name": "ELLEN",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R029067-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "R029067-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ellen Sherman, SLP
• Fnu Shobha, ARDMS
• Barbara Shor, SLP
• Shore Medical Treatment PLLC
• Rovena Honey Shreck, M.A.
• Barbara Ann Siegel, DC
• Jamie Silverman, LMSW
• Smart Care PT Rehab PC
• Sean Smith, LCSW
• Amorita Snow, MD

• Clinical Social Worker in Jericho, NY
• Providers in Jericho, 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 Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.