Ellen Lucille Whipple, LCSW – Clinical Social Worker

Key facts

NPI: 1316041981
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 073521 (NY)
Practice address: 34570 State Highway 10
Suite 5
Hamden, NY 13782-1120
Phone: (607) 865-7656
NPI assigned: Sep 12, 2006
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Delaware County Community Services Substance Use Disorder Rehabilitation Clinic/Center · Walton, NY · NPI 1326135237

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
073521	NY	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Delaware County Community Services		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	073521	NY	Yes

Addresses

Primary practice location

34570 State Highway 10
Suite 5
Hamden, NY 13782-1120

Mailing address

6928 Charlotte Creek Rd
Davenport, NY 13750-8375
Phone (607) 278-5525

Other providers in Hamden, NY

All providers in Hamden, 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.

Verify at the official NPI Registry.