Individual provider Active NPI

Elizabeth Jane Sillick, LCSW

  • Clinical Social Worker
  • Jamaica, NY
National Provider Identifier
1760797070
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081420-01 Issued in NY
Practice address
90-27 Sutphin Blvd, 5TH Floor
Transitional Services of New York
Jamaica, NY 11435
Phone
(718) 526-8400
Fax
(718) 297-8658
NPI assigned
Aug 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 72 080078 NY
Clinical Social Worker 1041C0700X 081420-01 NY Primary

Addresses

Primary practice location

90-27 Sutphin Blvd, 5TH Floor
Transitional Services of New York
Jamaica, NY 11435

Mailing address

90-27 Sutphin Blvd, 5TH Floor
Transitional Services of New York
Jamaica, NY 11435
Phone (718) 526-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140516001051 NY Practitioner - Clinical Social Worker 2466675632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Transitional Services for New York, Inc.Group PAC ID 7719932540, 13 clinicians

Practice addresses (Care Compare)

9027 Sutphin Blvd
Suite 5
Jamaica, NY 11435-3648
Phone (718) 526-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72 080078NYMDSocial Worker
081420-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Services for New York,Inc. PastSince Oct 14, 2022 Accepting new patients

Organizations & group practices 2

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": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1760797070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90-27 SUTPHIN BLVD, 5TH FLOOR",
            "address_2": "TRANSITIONAL SERVICES OF NEW YORK",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11435",
            "telephone_number": "718-526-8400",
            "fax_number": "718-297-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90-27 SUTPHIN BLVD, 5TH FLOOR",
            "address_2": "TRANSITIONAL SERVICES OF NEW YORK",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11435",
            "telephone_number": "718-526-8400",
            "fax_number": "718-297-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLICK",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72 080078",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081420-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.