Louise Marie Ellis, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R059244-1 Issued in NY

Practice address

83 S Bedford Rd Ste 201
Mount Kisco, NY 10549-3458

Phone

(914) 864-2814

Fax

(914) 864-2826

NPI assigned

Aug 25, 2008

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

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 and National Provider Directory roles.

• Bronx Westchester Medical Group

  • Specialist
  • Bronx, NY
  • NPI 1831304245
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1720235591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 S BEDFORD RD STE 201",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493458",
            "telephone_number": "914-864-2814",
            "fax_number": "914-864-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 S BEDFORD RD STE 201",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493458",
            "telephone_number": "914-864-2814",
            "fax_number": "914-864-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LOUISE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R059244-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fern Eisenberg
• Jennifer Anne Eleazar, M.D.
• Omnea Elgendy
• Elim Dental PC
• Elite Performance Physical Therapy of Westchester PC
• Marie A Elms, FNP
• Katherine E Elwyn, MD
• Tracey B. Emanuel, F.N.P.
• Maureen D Empfield, MD
• Chinedum Steven Enyinna, M.D.

• Clinical Social Worker in Mount Kisco, NY
• Providers in Mount Kisco, 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 21, 2023; 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.