Ellen Wentworth-Norris, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R030772-1 Issued in NY

Practice address

2025 Lehigh Station Rd
Henrietta, NY 14467-9736

Phone

(585) 232-1840

Fax

(585) 770-1116

NPI assigned

Mar 29, 2007

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

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 and National Provider Directory roles.

• Catholic Charities of the Diocese of Rochester

  • Community/Behavioral Health Agency
  • Rochester, NY
  • NPI 1790853844
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700905734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CLINTON AVE N",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146041404",
            "telephone_number": "585-232-1840",
            "fax_number": "585-770-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 LEHIGH STATION RD",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679736",
            "telephone_number": "585-232-1840",
            "fax_number": "585-770-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTWORTH-NORRIS",
        "first_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R030772-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Amy Beth Wallace, LPN
• Elizabeth Warner, LCSW
• Jeffrey Weissman, O.D.
• Latanya Tenza White, FNP
• Linda P White, LPN
• Denise Wierzba, OTR/L
• Stephanie Lynne Wierzba
• Gary Wayne Willison, RPH

• Clinical Social Worker in Henrietta, NY
• Providers in Henrietta, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.