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ELLEN RUBY LCSW, CASAC
NPI 1164720306
Social Worker - Clinical in Sag Harbor, NY

Active since March 12, 2011PECOS EnrolledAccepts Medicare Assignment
26 CLUB LN, SAG HARBOR, NY 11963(631) 725-1769(631) 725-1769 Get Directions Write a Review

NPPES record last updated: March 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellen Ruby Lcsw, Casac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN RUBY LCSW, CASAC (NPI 1164720306) is an individual clinical provider in Sag Harbor, New York, licensed in New York (R-028959-1) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1981).

NPPES Registry Identity

NPI1164720306
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLEN RUBYCredential: LCSW, CASAC
Location Address26 CLUB LNSag Harbor, NY 11963-2112
Mailing Address26 Club LnSag Harbor, NY 11963-2112 · (631) 725-1769 · Fax (631) 725-1769
Phone(631) 725-1769
Fax(631) 725-1769
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1981
Enumeration DateMarch 12, 2011
✔ NPI 1164720306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R-028959-1
Definition
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CASAC2385 (NY)
26 CLUB LN, Sag Harbor, NY 11963
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Other Identifiers 1

Medicare PINN43011NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ellen Ruby Lcsw, Casac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143521997
PECOS Enrollment IDI20151221000604
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11963 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Ruby's NPI number?

The NPI number for Ellen Ruby is 1164720306. It was assigned to this individual provider in the NPPES registry on March 12, 2011.

Where is Ellen Ruby located?

Ellen Ruby practices at 26 Club Ln, Sag Harbor, NY 11963. The listed phone number is (631) 725-1769.

What is Ellen Ruby's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ellen Ruby enrolled in Medicare?

Yes. Ellen Ruby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ellen Ruby was last updated on March 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.