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

Active since December 22, 2020
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: August 16, 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.

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
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

Other Names 1

Former Name (1)Laurie Smith

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner
112 KIMBALL AVE
PENN YAN, NY 14527
Nurse Practitioner (Family)
112 KIMBALL AVE
PENN YAN, NY 14527
Clinic/Center (Federally Qualified Health Center (FQHC))
112 KIMBALL AVE
PENN YAN, NY 14527
Nurse Practitioner (Adult Health)
112 KIMBALL AVE
PENN YAN, NY 14527
Licensed Practical Nurse
112 KIMBALL AVE
PENN YAN, NY 14527
Licensed Practical Nurse
112 KIMBALL AVE
PENN YAN, NY 14527
Social Worker (Clinical)
112 KIMBALL AVE
PENN YAN, NY 14527
Internal Medicine
112 KIMBALL AVE
PENN YAN, NY 14527

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.

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 2 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.