Active NPI
Ellen Halkett Lourie, LCSW
- Social Worker
- Little Neck, NY
National Provider Identifier
1255819322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 092114-01
- Practice address
- 5928 Little Neck Pkwy
Little Neck, NY 11362-2532 - Phone
- (718) 224-0566
- Fax
- (718) 224-7544
- NPI assigned
- Aug 1, 2018
- Last updated
- Sep 30, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 092114-01 | NY | Primary |
Addresses
Primary practice location
5928 Little Neck Pkwy
Little Neck, NY 11362-2532
Mailing address
9201 4TH Ave
Brooklyn, NY 11209-7006
Phone (718) 232-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092114-01 | Other | NY | NYS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092114 | NY | MD | Mental Health Counselor |
| 092114-01 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel Field Ym&Ywha | Current | Accepting new patients | |
| Karat Health, Inc. | Past | Accepting new patients | |
| United Cerebral Palsy Assoc of Nys Inc. | Past | Accepting new patients |
Locations
5820 Little Neck Pkwy
Little Neck, NY 11362
Phone 64651875842001
5928 Little Neck Pkwy
Little Neck, NY 11362
Phone (347) 306-0767
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Little Neck, NY
- NPI 1205862950
-
- Behavioral Neurology & Neuropsychiatry Physician
- Long Island City, NY
- NPI 1093228801
-
dba Cerebral Palsy of NYS
- Clinic/Center
- Woodside, NY
- NPI 1255496642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1255819322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112097006",
"telephone_number": "718-232-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5928 LITTLE NECK PKWY",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113622532",
"telephone_number": "718-224-0566",
"fax_number": "718-224-7544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOURIE",
"first_name": "ELLEN",
"middle_name": "HALKETT",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "092114-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS",
"identifier": "092114-01",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.