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LAURIE A ELLIS LCSW
NPI 1619564861
Social Worker - Clinical in Penn Yan, NY

Active since December 22, 2020PECOS Enrolled
112 KIMBALL AVE, PENN YAN, NY 14527(315) 536-2752 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 7, 2025, Nov 13, 2024, Dec 22, 2020 (3 updates tracked since 2020).

About Laurie A Ellis Lcsw NPPES

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

LAURIE A ELLIS LCSW (NPI 1619564861) is an individual clinical provider in Penn Yan, New York, licensed in New York (098429) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619564861
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLAURIE A ELLISCredential: LCSW
Location Address112 KIMBALL AVEPenn Yan, NY 14527-1816
Mailing Address601b W Washington StGeneva, NY 14456-2119 · (315) 787-8151
Phone(315) 536-2752
Sole ProprietorNo
Enumeration DateDecember 22, 2020
Last NPPES UpdateJune 10, 20263 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1619564861 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 · 098429
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 ListedSocial WorkerTaxonomy 104100000X · License 065292 (NY)
112 KIMBALL AVE, Penn Yan, NY 14527
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Other Names 1

Former Name (1)Laurie Smith

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurie A Ellis Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14527 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDON J JACKEL NP
Nurse Practitioner
112 KIMBALL AVE
PENN YAN, NY 14527
Yates County (315) 536-2752
FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
112 KIMBALL AVE
PENN YAN, NY 14527
Yates County (315) 536-2752
LISA R NAYLOR NP
Nurse Practitioner (Adult Health)
112 KIMBALL AVE
PENN YAN, NY 14527
Yates County (315) 536-2752
MISS MICHELLE LYNN MORRIS LPN
Licensed Practical Nurse
112 KIMBALL AVE
PENN YAN, NY 14527
Yates County (315) 536-2752
ESTELLA GARCIA
Licensed Practical Nurse
112 KIMBALL AVE
PENN YAN, NY 14527
Yates County (315) 536-2752
CAROL H CLENDENIN LCSW-R
Social Worker (Clinical)
112 KIMBALL AVE
PENN YAN, NY 14527
Yates County (315) 536-2752
STACEY ANN WALKER M.D.
Internal Medicine
112 KIMBALL AVE
PENN YAN, NY 14527
Yates County (315) 536-2752
FINGER LAKES COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
112 KIMBALL AVE
PENN YAN, NY 14527
Yates County (315) 531-9102

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 Laurie Ellis's NPI number?

The NPI number for Laurie Ellis is 1619564861. It was assigned to this individual provider in the NPPES registry on December 22, 2020. The provider is also known as Laurie Smith.

Where is Laurie Ellis located?

Laurie Ellis practices at 112 Kimball Ave, Penn Yan, NY 14527. The listed phone number is (315) 536-2752.

What is Laurie Ellis's specialty?

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

Is Laurie Ellis enrolled in Medicare?

Yes. Laurie Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laurie Ellis was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.