Individual provider Active NPI

Ellen Halkett Lourie, LCSW

  • Social Worker
  • Little Neck, NY
National Provider Identifier
1255819322
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
092114-01 Issued in NY
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
092114-01OtherNYNYS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011000688 NY Practitioner - Clinical Social Worker 0941608608 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092114NYMDMental Health Counselor
092114-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Field Ym&Ywha CurrentSince Sep 23, 2021 Accepting new patients
Karat Health, Inc. PastSince Oct 5, 2021 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.

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

Verify at the official NPI Registry.