Active NPI
Ryan Yellott, LCSW
- Clinical Social Worker
- Elizabethtown, NY
National Provider Identifier
1366175960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101950
- Practice address
- 7513 Court Street
Elizabethtown, NY 12932 - Phone
- (518) 873-3670
- NPI assigned
- Jul 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 101950 | NY | Primary |
| Social Worker | 104100000X | 115820 | NY |
Addresses
Primary practice location
7513 Court Street
Elizabethtown, NY 12932
Mailing address
181 Sanders Rd
Willsboro, NY 12996-3401
Phone (315) 261-2977
Other practice location 1
3635 Bell Blvd Ste 203
Bayside, NY 11361-2097
Phone (774) 773-5714 ext. 49256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 1150
Burlington, VT 05402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101950 | NY | MD | Social Worker |
| 115820 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1366175960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 SANDERS RD",
"city": "WILLSBORO",
"state": "NY",
"postal_code": "129963401",
"telephone_number": "315-261-2977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7513 COURT STREET",
"city": "ELIZABETHTOWN",
"state": "NY",
"postal_code": "12932",
"telephone_number": "518-873-3670"
}
],
"practiceLocations": [
{
"address_1": "3635 Bell Blvd Ste 203",
"address_purpose": "LOCATION",
"city": "Bayside",
"state": "NY",
"postal_code": "113612097",
"country_code": "US",
"telephone_number": "774-773-5714 x49256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YELLOTT",
"first_name": "RYAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-01",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "101950",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "115820",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.