Active NPI
Ellie Fussell, LMSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1386509776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 127727
- Practice address
- 200 W 57TH St Ste 1008
New York, NY 10019-3221 - Phone
- (646) 837-5557
- NPI assigned
- Dec 18, 2025
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 127727 | NY | Primary |
Addresses
Primary practice location
200 W 57TH St Ste 1008
New York, NY 10019-3221
Mailing address
200 W 57TH St Ste 1008
New York, NY 10019-3221
Phone (646) 837-5557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127727 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nyc Psychology PC | Current | Accepting new patients |
Locations
200 W 57th St
Ste 1008
New York, NY 10019
Phone (646) 655-3806
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.
-
- Psychologist
- New York, NY
- NPI 1376005751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1386509776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W 57TH ST STE 1008",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193221",
"telephone_number": "646-837-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 57TH ST STE 1008",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193221",
"telephone_number": "646-837-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSSELL",
"first_name": "ELLIE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-18",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "127727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Thomas Francis Fusillo, DO, MS, MHA
- Fusion Apothecary LCC
- Fusion Apothecary LLC (Fusion Apothecary)
- Fusion Physical Therapy and Sports Wellness P.C.
- Fusion Physical Therapy Wellness
- Ricardo Fuster, MHC
- Valentin Fuster, MD
- Julie Leigh Futrell, PH.D.
- Benjamin Futterman, DNP, PMHNP-BC
- Henry A Futterman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.