MS. CYNTHIA MARIE ELLIS (NPI# 1790009058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790009058 |
| Entity Type | Individual |
| Full Name | MS. CYNTHIA MARIE ELLIS |
| Other Name | MS. CYNTHIA MARIE ELLIS-ROTH |
| Credential | LCSW,CASAC |
| Practice Address |
1545 Atlantic Ave 4th Floor Mica Unit Brooklyn NY 11213-1122 |
| Mailing Address |
1545 Atlantic Avenue Interfaith Medical Center Brooklyn NY 11213 |
| Practice Telephone | 7186134330 |
| Practice Fax Number | 7186134377 |
| Mailing Telephone | 7186134330 |
| Mailing Fax Number | 7186134377 |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
072533 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326116971 | Cynthia A Ellis | Physical Therapist | 1519 Taylor St, Columbia, SC 29201-2918 | 2006-12-01 |
| 1962479808 | Cynthia Lynn Ellis | Specialist/Technologist | 3505 Mccarrell Ln, Knoxville, TN 37920-4757 | 2006-02-28 |
| 1205364387 | Cynthia Ellis | Physical Therapy Assistant | 110 Fairfax Rd, Saint Albans, VT 05478-6299 | 2017-06-01 |
| 1093146482 | Cynthia Rose Ellis | Registered Nurse | 2250 Soquel Ave, Suite 150, Santa Cruz, CA 95062-1402 | 2013-12-10 |
| 1831439538 | Cynthia R Ellis | Registered Nurse | 621 Old Hickory Blvd Ste G, Jackson, TN 38305-2911 | 2013-02-18 |
| 1538347901 | Cynthia K Ellis | Pharmacist | 5 Bel Air South Pkwy, Suite 301, Bel Air, MD 21015-6091 | 2008-02-07 |
| 1821283086 | Cynthia Ellis | Social Worker | 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5674 | 2007-09-11 |
| 1831215144 | Cynthia G Ellis | Psychologist | 105 Medway Street, Providence, RI 02906 | 2007-03-21 |
| 1043381403 | Cynthia Eorio Ellis | Counselor | 1412 W Washington St, Boise, ID 83702-5038 | 2006-11-09 |
| 1760415517 | Cynthia Graham Ellis | Social Worker | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2006-07-07 |
| Street Address |
1545 ATLANTIC AVE 4TH FLOOR MICA UNIT |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11213-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366575 | David R Trauber | Internal Medicine | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2005-06-16 |
| 1104426196 | Isaiah Jacoby Hammonds | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-10-28 |
| 1376159962 | Amita Arora | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-18 |
| 1922613389 | Amulya Lakshmi Bellamkonda | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-12 |
| 1881208007 | Binit Aryal | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-04 |
| 1245843499 | Pooja Kc | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-27 |
| 1811500127 | Aakriti Shrestha | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-26 |
| 1326651969 | Unknown Tsering Dolkar | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| 1063025625 | Roshan Bisural | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| 1306459979 | Samaj Adhikari | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885262 | Zaire Hairston | Counselor | 1625 President Street Brooklyn, Ny 11213 Apt 3a, 1625 President Street Brooklyn, Ny 11213 Apt 3a, Brooklyn, NY 11213 | 2020-06-09 |
| 1447801394 | Rron Lleshi | Physician Assistant | 1635 Union Street, Apt 1a, Brooklyn, NY 11213 | 2019-09-23 |
| 1639723174 | Jamie Zena Morris | Licensed Vocational Nurse | 1372 Sterling Pl B2, Brooklyn, NY 11213 | 2019-08-01 |
| 1073097572 | Mariia Tonkonog | Specialist | 878 Easetern Pkwy, Brooklyn, NY 11213 | 2018-09-20 |
| 1114413234 | Rimma Salganik | Social Worker | Bright Futures for The Children, 119 Schenectady Ave, Brooklyn, NY 11213 | 2018-07-02 |
| 1861980138 | Ibrahim Elkattawy | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # 11213, Brooklyn, NY 11213 | 2018-04-23 |
| 1528571858 | Rivkah Shuchat | Physical Therapist | Homecare, Brooklyn, NY 11213 | 2017-11-08 |
| 1356854699 | Lisa Watler | Physical Therapy Assistant | 1470 Union Street, Brooklyn, NY 11213 | 2017-11-08 |
| 1962914713 | Rockaway Ave Pharmacy Inc | Pharmacist | 226 Schenectady Ave, Brooklyn, NY 11213 | 2017-11-02 |
| 1649796152 | Janet Agbaku | Registered Nurse | 893 Eastern Parkway, Fl 2, Brooklyn, NY 11213 | 2017-08-16 |
| Find all providers in zip 11213 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181190 | Kendall Johnson-smith | Social Worker | 108 Kenilworth Place, Comm. 2, Brooklyn, NY 11210-2439 | 2020-10-16 |
| 1316545700 | Emily Rogers | Social Worker | 28 Meserole St Apt 3, Brooklyn, NY 11206-3191 | 2020-10-16 |
| 1841898749 | Deena Grossman | Social Worker | 1014 E 29th St, Brooklyn, NY 11210-3744 | 2020-10-13 |
| 1932706413 | Brooklyn Healthy Mind 360- Nurse Practitioner In Psychiatry Pllc | Social Worker | 26 Court St Ste 409, Brooklyn, NY 11242-1134 | 2020-10-07 |
| 1184221897 | Alexandre David Bauman | Social Worker | 151 Guernsey St Apt 1r, Brooklyn, NY 11222-2848 | 2020-10-06 |
| 1538766308 | Malky Katz | Social Worker | 1621 58th St, Brooklyn, NY 11204-2174 | 2020-10-05 |
| 1881291029 | Andrea M Harris-kornblith | Social Worker | 324 Prospect Ave Apt 1l, Brooklyn, NY 11215-5526 | 2020-10-01 |
| 1255938494 | Juniper Therapeutic Services LLC | Social Worker | 524 Lafayette Ave Apt 4, Brooklyn, NY 11205-4948 | 2020-10-01 |
| 1154938512 | Victor Furtick | Social Worker | 461 Dean St Apt 12p, Brooklyn, NY 11217-4144 | 2020-09-29 |
| 1700493376 | Coral Hain | Social Worker | 830 Marcy Ave Apt 2, Brooklyn, NY 11216-1524 | 2020-09-28 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.