Active NPI
Ellen J. Neff, LCSW
- Clinical Social Worker
- Southold, NY
National Provider Identifier
1639220775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R052555-1
- Practice address
- 44210 North Rd
Southold, NY 11971-5032 - Phone
- (631) 463-3142
- Fax
- (631) 477-1284
- NPI assigned
- Jan 16, 2007
- Last updated
- Mar 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R052555-1 | NY | Primary |
Addresses
Primary practice location
44210 North Rd
Southold, NY 11971-5032
Mailing address
PO Box 39
Greenport, NY 11944-0039
Phone (631) 463-3142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R052555-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1639220775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39",
"city": "GREENPORT",
"state": "NY",
"postal_code": "119440039",
"telephone_number": "631-463-3142",
"fax_number": "631-477-1284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44210 NORTH RD",
"city": "SOUTHOLD",
"state": "NY",
"postal_code": "119715032",
"telephone_number": "631-463-3142",
"fax_number": "631-477-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEFF",
"first_name": "ELLEN",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R052555-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southold, NY
- Katherine Elizabeth Meehan, PSY.D
- Olha Michalak
- Karen Christine Mitchell, P.T.
- Sally Catherine Monahan, NURSE PRACTITIONER
- Mother Hen Massage
- New Freedom Wellness Inc.
- North Fork Podiatry Associates
- North Fork Speech-Language Pathology
- North Fork Surgery Center LLC (NFSC Anesthesia)
- North Fork Surgery Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.