Sue a Elliot LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR022517-1 Issued in NY

Legal business name

SUE A ELLIOT LCSW PLLC

Practice address

409 Maple Ave
Saratoga Springs, NY 12866-5636

Phone

(518) 584-0990

NPI assigned

Jan 4, 2018

Organization subpart

No

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

Authorized official

Name

Sue Ann Elliot, LCSWNPI 1497853030

Title

Owner

Phone

(518) 584-0990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sue Ann Elliot, MSW NY STATE LCSW

  • Psychologist
  • Saratoga Springs, NY
  • NPI 1497853030

  Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1902313539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SQUASHVILLE RD",
            "city": "GREENFIELD CENTER",
            "state": "NY",
            "postal_code": "128331012",
            "telephone_number": "518-584-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MAPLE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665636",
            "telephone_number": "518-584-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE A ELLIOT LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ELLIOT",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-584-0990",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR022517-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Noah Strauss, MD
• Ashley Christine Strazzi
• Wayne Caleb Strong, PHARMD RPH
• Jared Stuttle
• Xiao Su, M.D, PH.D.
• Jonathan Leigh Sulkin, PHD
• Carrie E Sullivan, LMHC
• Daniel Jacob Sullivan, PMHNP
• William Martin Sullivan, DDS
• Richard J. Sweeney, D.C.

• Clinical Social Worker in Saratoga Springs, NY
• Providers in Saratoga Springs, 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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.