Individual provider Active NPI

Ellyn Enisman, LCSW

  • Clinical Social Worker
  • Delray Beach, FL
National Provider Identifier
1821245762
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
72075571 Issued in NY
Practice address
16313 Braeburn Ridge TRL
Delray Beach, FL 33446-9528
Phone
(845) 323-3835
Fax
(845) 345-8250
NPI assigned
Aug 22, 2008
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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 72075571 NY
Clinical Social Worker 1041C0700X 72075571 NY Primary

Addresses

Primary practice location

16313 Braeburn Ridge TRL
Delray Beach, FL 33446-9528

Mailing address

16313 Braeburn Ridge TRL
Delray Beach, FL 33446-9528
Phone (845) 323-3835

Other practice location 1

370 Violet Ave
Poughkeepsie, NY 12601-1034
Phone (845) 323-3835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
72075571NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Psychiatric Medicine PC Past Accepting new patients
Eks Consultants, Inc Social Worker Past Accepting new patients
Riverview Psychiatric Medicine, PC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1821245762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16313 BRAEBURN RIDGE TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469528",
            "telephone_number": "845-323-3835",
            "fax_number": "845-485-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16313 BRAEBURN RIDGE TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469528",
            "telephone_number": "845-323-3835",
            "fax_number": "845-345-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 Violet Ave",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011034",
            "country_code": "US",
            "telephone_number": "845-323-3835",
            "fax_number": "845-485-1890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENISMAN",
        "first_name": "ELLYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72075571",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "72075571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.