Individual provider Active NPI

Ellen Beth Schnier, LCSW

  • Clinical Social Worker
  • Old Lyme, CT
National Provider Identifier
1891817250
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007129 Issued in CT
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

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
R045680-1NYMDClinical Social Worker
045680NYMDPhysical Therapist
007129CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South County Psychiatry LLC Clinical PastSince Jun 1, 2023 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

Verify at the official NPI Registry.