Active NPI
Ellen Ferber, LCSW
- Clinical Social Worker
- Mamaroneck, NY
National Provider Identifier
1487721197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R0345291
- Practice address
- 501 E Boston Post Rd
Mamaroneck, NY 10543 - Phone
- (917) 817-5533
- Fax
- (914) 833-3225
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- 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 | R0345291 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 11103 | MA |
Addresses
Primary practice location
501 E Boston Post Rd
Mamaroneck, NY 10543
Mailing address
89 North Chatsworth Avenue
Larchmont, NY 10538
Phone (917) 817-5533
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
- Opted out of Medicare
- Yes, effective Jan 1, 2015 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11103 | MA | MD | Psychologist |
| R0345291 | NY | MD | Clinical Social Worker |
| 034529 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487721197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 NORTH CHATSWORTH AVENUE",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "10538",
"telephone_number": "917-817-5533",
"fax_number": "914-833-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E BOSTON POST RD",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "10543",
"telephone_number": "917-817-5533",
"fax_number": "914-833-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERBER",
"first_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R0345291",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "11103",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.