Ellen Pemstein, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R029399-1 Issued in NY

Practice address

858 E 29TH St
Brooklyn, NY 11210-2927

Phone

(917) 808-4510

NPI assigned

Sep 18, 2015

Last updated

Sep 18, 2015By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1760851836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 E 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102927",
            "telephone_number": "917-808-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 E 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102927",
            "telephone_number": "917-808-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMSTEIN",
        "first_name": "ELLEN",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R029399-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00272688",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Grazia Margherita Peluso, M.S. CCC-SLP
• Ralph B Peluso, MD
• Felicia Pelzer
• Gelza Pemberton
• Lesa Pemberton, LMSW
• Oleg Pen, DDS
• Fernando Luis Pena Cruz, M.D
• Martina Pena de Williams
• Hollie M Pena Holmes, LMSW
• Giovanna Pena-Dominguez

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Sep 18, 2015; 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.