Individual provider Active NPI

Ellen K Metzger, LCSWR

  • Social Worker
  • East Aurora, NY
National Provider Identifier
1992838767
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R28351 Issued in NY
Practice address
552 Linden Ave
East Aurora, NY 14052-2915
Phone
(716) 652-8100
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R28351 NY Primary

Addresses

Primary practice location

552 Linden Ave
East Aurora, NY 14052-2915

Mailing address

552 Linden Ave
East Aurora, NY 14052-2915
Phone (716) 652-8100

Other identifiers 3

IdentifierTypeStateIssuer
00051914003OtherNYBCBS
6212625OtherNYIHA
00026227001OtherNYUNIVERA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R28351NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn M Walker, LCSW, PLLC PastSince Apr 5, 2012 Accepting new patients
Advanced Psychiatric Nurse Practitioner Practice, PLLC Past Accepting new patients
Hulbert Counseling Services LCSW PC PastSince Jul 1, 2004 Accepting new patients

Organizations & group practices 3

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1992838767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 LINDEN AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522915",
            "telephone_number": "716-652-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 LINDEN AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522915",
            "telephone_number": "716-652-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "ELLEN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R28351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00051914003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "6212625",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026227001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.