TYIESHA ELLIS LMSW
NPI 1699200998
Social Worker in Brooklyn, NY

Q: What is Tyiesha Ellis's NPI number?

The NPI number for Tyiesha Ellis is 1699200998. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Q: What is Tyiesha Ellis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Tyiesha Ellis was last updated on April 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 24, 2017PECOS Enrolled

2901 CAMPUS RD, BROOKLYN, NY 11210(718) 692-1929 Get Directions Write a Review

NPPES record last updated: April 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tyiesha Ellis Lmsw NPPES

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

TYIESHA ELLIS LMSW (NPI 1699200998) is an individual social worker in Brooklyn, New York, licensed in New York (100215) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699200998

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameTYIESHA ELLISCredential: LMSW

Location Address2901 CAMPUS RDBrooklyn, NY 11210-2153

Mailing Address2901 Campus RdBrooklyn, NY 11210-2153

Phone(718) 692-1929

Sole ProprietorYes

Enumeration DateApril 24, 2017

Last NPPES UpdateApril 29, 2017

✔ NPI 1699200998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 100215

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

2901 CAMPUS RD, Brooklyn, NY 11210

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyiesha Ellis Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 16

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

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