Ellen Nelson, MSW
Individual provider Active NPI Clinical Social Worker · Nyc, NY
NPI 1508995523 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508995523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSWPR015680 (NY)
- Practice address
- 315 E 80TH St
Apt 6F
Nyc, NY 10021-0674 - Phone
- (212) 535-1589
- Fax
- (212) 535-1734
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSWPR015680 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSWPR015680 | NY | Yes |
Addresses
Primary practice location
315 E 80TH St
Apt 6F
Nyc, NY 10021-0674
Mailing address
315 E 80TH St
Apt 6F
Nyc, NY 10021-0674
Phone (212) 535-1589
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2912921 | Other | OXFORD |
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All providers in Nyc, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.