Individual provider Active NPI

Sue Ann Elliot, MSW NY STATE LCSW

  • Psychologist
  • Saratoga Springs, NY
National Provider Identifier
1497853030
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
R022517 LCSW Issued in NY
Practice address
409 Maple Ave
Saratoga Springs, NY 12866
Phone
(518) 584-0990
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X R022517 LCSW NY Primary
Clinical Social Worker 1041C0700X R022517 LCSW NY

Addresses

Primary practice location

409 Maple Ave
Saratoga Springs, NY 12866

Mailing address

103 Squashville Road
Greenfield Center, NY 12833
Phone (518) 584-0990

Other identifiers 1

IdentifierTypeStateIssuer
R022517OtherNY LIC

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
I20110321000073 NY Practitioner - Clinical Social Worker 9830282391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Irondequoit, NY 14617
Phone (518) 791-2439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R022517 LCSWNYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sue a Elliot LCSW PLLC Clinical CurrentSince Nov 1, 2017 Accepting new patients

Locations

409 Maple Ave
Saratoga Springs, NY 12866
Phone (518) 584-0990

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1497853030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SQUASHVILLE ROAD",
            "city": "GREENFIELD CENTER",
            "state": "NY",
            "postal_code": "12833",
            "telephone_number": "518-584-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MAPLE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-584-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOT",
        "first_name": "SUE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW NY STATE LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "R022517 LCSW",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R022517 LCSW",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LIC",
            "identifier": "R022517",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.