Individual provider Active NPI

Elliott Ezelle Hewett, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1497497598
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092675-01 Issued in NY
Practice address
105 W 125TH St
New York, NY 10027-4444
Phone
(201) 365-4037
NPI assigned
Apr 9, 2022
Last updated
Dec 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 092675-01 NY Primary

Addresses

Primary practice location

105 W 125TH St
New York, NY 10027-4444

Mailing address

2548 Raya Way
Easton, PA 18045-5687
Phone (910) 612-8636

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250206002100 NY Practitioner - Clinical Social Worker 8628508686 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092675NYMDClinical Social Worker
092675-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Century Medical & Dental Center Inc CurrentSince Dec 5, 2024 Accepting new patients
Hewett & Smith LCSW Counseling Services PLLC Clinical CurrentSince Jan 1, 2026 Accepting new patients

Locations

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

770 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 627-3988

105 W 125th St
Frnt 1
New York, NY 10027
Phone (347) 849-1576

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1497497598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 RAYA WAY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455687",
            "telephone_number": "910-612-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274444",
            "telephone_number": "201-365-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWETT",
        "first_name": "ELLIOTT",
        "middle_name": "EZELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-09",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092675-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.