Sara G Ellison, LSCW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

071029-1 Issued in NY

Practice address

77 E 1St St
Corning, NY 14830-2715

Phone

(607) 936-1771

Fax

(607) 936-2648

NPI assigned

Jan 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Erwin Psychiatric NP PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Corning, NY
  • NPI 1639939069
  NPD (past)
• Pathways, Inc.

  • Social Worker
  • Corning, NY
  • NPI 1396896486
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619028891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E 1ST ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302715",
            "telephone_number": "607-936-1771",
            "fax_number": "607-936-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E 1ST ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302715",
            "telephone_number": "607-936-1771",
            "fax_number": "607-936-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "SARA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LSCW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "071029-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eckerd Corporation (Rite Aid Pharmacy 10877)
• Hannah Edger, MA, CCC-SLP
• Shelby Lynn Edgerly, LMSW
• Christine Elliott, DPT
• Jennifer Briggs Ellison, LMSW
• Empire Vision Center Inc (Empire Vision Centers)
• Gary Carl Enders, M.D
• Martin D Ennulat
• Rachel Epp, COTA
• Heather Ann Ernest-Drake, PHARM D

• Social Worker in Corning, NY
• Providers in Corning, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.