Individual provider Active NPI

Ellen Ferber, LCSW

  • Clinical Social Worker
  • Mamaroneck, NY
National Provider Identifier
1487721197
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0345291 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
11103MAMDPsychologist
R0345291NYMDClinical Social Worker
034529NYMDPhysical 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

Verify at the official NPI Registry.