Ellen Bambrick, LCSW-R

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

5962 Issued in NY

Practice address

18 Rodney PL
Rockville Centre, NY 11570-5822

Phone

(516) 382-6425

NPI assigned

Oct 17, 2005

Last updated

Nov 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Oceanside Counseling Center,Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oceanside, NY
  • NPI 1811967128
  NPD (past)
• South Nassau Communities Hospital

  • Cardiovascular Disease Physician
  • Oceanside, NY
  • NPI 1073594800
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1477542066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RODNEY PL",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705822",
            "telephone_number": "516-382-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 RODNEY PL",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705822",
            "telephone_number": "516-382-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBRICK",
        "first_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "5962",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R059464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neerja Naraindas Baijal, PHYSICAL THERAPIST
• Balance Podiatry PLLC
• Balanced Wellness Acupuncture
• Balanced Wellness Acupuncture LLC
• Danielle A. Baldwin, OTR
• Eva Marie Banham Riolo, SLP
• Meera Bansal, M.D.
• Pradeep Bansal, MD
• Marvin Ian Baptiste, D.D.S
• Ann Marie Barbaccia, MD

• Addiction (Substance Use Disorder) Counselor in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.

Verify at the official NPI Registry.