Mrs Carly Ellman, LCSW is a
Social Worker - Clinical based in Shavertown, Pennsylvania. Mrs Carly Ellman is licensed to practice in Pennsylvania (license number CW019074) and her current practice location is
39 Kenilworth Rd, Shavertown, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(914) 393-2897.
NPI number for Mrs Carly Ellman is 1154633634 and her current mailing address is 39 Kenilworth Rd, Shavertown, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154633634.
Healthcare Provider's Profile
Full Name | Mrs Carly Ellman |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 39 Kenilworth Rd, Shavertown, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154633634
- Provider Enumeration Date: 07/13/2010
- Last Update Date: 02/27/2017
Medical Identifiers
Medical identifiers for Mrs Carly Ellman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154633634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CW019074 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Carly Ellman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Carly Ellman, LCSW 39 Kenilworth Rd, Shavertown, PA 18708-1317 Ph: (914) 393-2897 | Mrs Carly Ellman, LCSW 39 Kenilworth Rd, Shavertown, PA 18708-1317 Ph: (914) 393-2897 |
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