Active NPI
Ellen Beth Schnier, LCSW
- Clinical Social Worker
- Old Lyme, CT
National Provider Identifier
1891817250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007129
- Practice address
- 19 Halls Rd Ste 213
Old Lyme, CT 06371-1457 - Phone
- (203) 499-9686
- NPI assigned
- Apr 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R045680-1 | NY | |
| Clinical Social Worker | 1041C0700X | 007129 | CT | Primary |
Addresses
Primary practice location
19 Halls Rd Ste 213
Old Lyme, CT 06371-1457
Mailing address
PO Box 366
Old Lyme, CT 06371-0366
Phone (203) 499-9686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121023000484 | CT | Practitioner - Clinical Social Worker | 9638329956 | Practice locations: Old Lyme, CT |
| I20150121001342 | NY | Practitioner - Clinical Social Worker | 9638329956 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
19 Halls Rd
Suite 234
Old Lyme, CT 06371-1457
Phone (203) 499-9686
280 Madison Ave
Suite 506
New York, NY 10016-0801
Phone (212) 615-6770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R045680-1 | NY | MD | Clinical Social Worker |
| 045680 | NY | MD | Physical Therapist |
| 007129 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South County Psychiatry LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1175731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1891817250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 366",
"city": "OLD LYME",
"state": "CT",
"postal_code": "063710366",
"telephone_number": "203-499-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 HALLS RD STE 213",
"city": "OLD LYME",
"state": "CT",
"postal_code": "063711457",
"telephone_number": "203-499-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNIER",
"first_name": "ELLEN",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-05",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R045680-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "007129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Lyme, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.