Individual provider Active NPI

Ellen Joan Henschel, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1972666055
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R040738-1 Issued in NY
Practice address
425 E 86TH St
Suite 1D
New York, NY 10028-6449
Phone
(212) 369-7885
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R040738-1 NY Primary

Addresses

Primary practice location

425 E 86TH St
Suite 1D
New York, NY 10028-6449

Mailing address

565 Broadway
Apt. 6B
Hastings on Hudson, NY 10706-1730
Phone (914) 478-4431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20050228000171 NY Practitioner - Clinical Social Worker 6204889512 Practice locations: Hastings on Hudson, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

425 E 86TH St
Suite 1D
New York, NY 10028-6491
Phone (212) 369-7885

615 Broadway Level
Hastings on Hudson, NY 10706-1039
Phone (914) 478-4431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R040738-1NYMDClinical Social Worker

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972666055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 BROADWAY",
            "address_2": "APT. 6B",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061730",
            "telephone_number": "914-478-4431",
            "fax_number": "914-478-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 86TH ST",
            "address_2": "SUITE 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286449",
            "telephone_number": "212-369-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSCHEL",
        "first_name": "ELLEN",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040738-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.