Ellis Hulse, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12065 Issued in FL

Practice address

2401 W Bay Dr
Ste 117
Largo, FL 33770-4902

Phone

(516) 840-2468

NPI assigned

Jan 30, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/
• Direct secure messaging: ellishulse@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD
• LMSW Counseling Associates of New York PC

  • Community/Behavioral Health Agency
  • Jamaica, NY
  • NPI 1033657630

  Multi-Specialty

  NPD (past)
• Long Island Consultation Center

  • Counselor
  • Elmhurst, NY
  • NPI 1356016703
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1942487004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 MORNINGSIDE CT",
            "address_2": "93",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844345",
            "telephone_number": "516-840-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BAY DR",
            "address_2": "STE 117",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704902",
            "telephone_number": "516-840-2468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 W 23rd St Ste 500",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100112599",
            "country_code": "US",
            "telephone_number": "646-733-6529",
            "fax_number": "646-774-0385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULSE",
        "first_name": "ELLIS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "079962",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Hudspeth, LMT
• Teresa Carol Hug, APN
• Mary Denise Hughes-Conlon, LMHC
• Chelsea Marie Hughes, MD
• William C Hulley III, DO
• Deborah Humbel
• Chad Douglas Hummel, M.D.
• Debra E Hunter, APRN
• Adam Hurwitz, DO
• Andrea Hutchinson, DC

• Clinical Social Worker in Largo, FL
• Providers in Largo, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.