Ellen Simon Irving, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R040080-1 Issued in NY

Practice address

624A Pittsford Victor Rd
Pittsford, NY 14534-3934

Phone

(585) 586-5830

Fax

(585) 271-0451

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1558450486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181005",
            "telephone_number": "585-414-0269",
            "fax_number": "585-271-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624A PITTSFORD VICTOR RD",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343934",
            "telephone_number": "585-586-5830",
            "fax_number": "585-271-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVING",
        "first_name": "ELLEN",
        "middle_name": "SIMON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040080-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "R040080",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtni Elizabeth Hurd, LCSW
• Margaret Mary Hurley, R.N.
• Meghan Hurley
• Ignite Wellness Management Services LLC
• Integrative Family Care at the Springs PLLC
• It Practice Consulting, Corp
• Jack M. Dorkhom, DMD, PLLC
• Antoinette H Jakobi, MD
• Jan M. Piper-Glasgow, DMD PC
• Carole I Jarvie

• Clinical Social Worker in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.