Individual provider Active NPI

Elyse Schunkewitz

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1700425295
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089163-01 Issued in NY
Practice address
220 Fifth Ave.
11TH Floor, #16
New York, NY 10001
Phone
(973) 769-9882
NPI assigned
Dec 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089163-01 NY Primary

Addresses

Primary practice location

220 Fifth Ave.
11TH Floor, #16
New York, NY 10001

Mailing address

220 Fifth Ave.
11TH Floor, #16
New York, NY 10001
Phone (973) 769-9882

Other practice location 1

253 W 73rd St Apt 7K
New York, NY 10023-2754
Phone (973) 769-9882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 26, 2024 through Jun 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
089163NYMDSocial Worker
089163-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elyse D. Schunkewitz, LCSW, PLLC Clinical CurrentSince Apr 30, 2023 Accepting new patients

Locations

220 5th Ave
Fl 11
New York, NY 10001
Phone (212) 564-0480

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": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1700425295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FIFTH AVE.",
            "address_2": "11TH FLOOR, #16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "973-769-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FIFTH AVE.",
            "address_2": "11TH FLOOR, #16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "973-769-9882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "253 W 73rd St Apt 7K",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100232754",
            "country_code": "US",
            "telephone_number": "973-769-9882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUNKEWITZ",
        "first_name": "ELYSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089163-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.