Ellen Zide Stein, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100068 Issued in MA

Practice address

17 Edge Hill Rd
Chestnut Hill, MA 02467-1170

Phone

(617) 332-4782

NPI assigned

Jul 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1437636248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EDGE HILL RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671170",
            "telephone_number": "617-332-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EDGE HILL RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671170",
            "telephone_number": "617-332-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "ELLEN",
        "middle_name": "ZIDE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "100068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Optometry Ma PLLC
• Lawrence A Starr, M.D.
• Meredith Beaton Starr, M.S.
• Emily K Staudenmaier, DO
• Elizabeth Jane Staunton, RN
• Daniel G Steinberg, M.D.
• Catherine Ann Steiner-Adair, ED.D.
• Jody Steinhilber, M.ED., BCBA
• Kylie Morgan Steinhilber, PH.D.
• Rebecca G Stephenson, PT, DPT, MS

• Clinical Social Worker in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.