ELLA M JOLLY L.C.S.W. - NPI 1780714600 - Social Worker in New York, NY

Q: What is Ella Jolly's NPI number?

The NPI number for Ella Jolly is 1780714600. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Q: What is Ella Jolly's specialty?

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

Q: Is Ella Jolly enrolled in Medicare?

No. Ella Jolly has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Ella Jolly was last updated on September 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Ella M Jolly L.c.s.w. NPPES

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

ELLA M JOLLY L.C.S.W. (NPI 1780714600) is an individual clinical provider in New York, New York, licensed in New York (072235) and active in the NPI registry since March 2007. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780714600

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameELLA M JOLLYCredential: L.C.S.W.

Location Address125 E 84TH ST, SUITE 2New York, NY 10028-0902

Mailing Address15 W 11th StNew York, NY 10011-8607 · (212) 627-8144 · Fax (212) 633-7100

Phone(212) 633-7100

Fax(212) 633-7100

Sole ProprietorYes

Enumeration DateMarch 7, 2007

Last NPPES UpdateSeptember 19, 2007

✔ NPI 1780714600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 072235

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.

125 E 84TH ST, New York, NY 10028

Open in Google Maps ↗

Other Identifiers 2

OtherP840321NY · Oxford Health Plans

Medicare ID-Type UnspecifiedN38261NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ella M Jolly L.c.s.w. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10028 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 $65.69 – $198.19

Typical copayment $0.00 (range $16.42 – $49.54)

Most-billed visit code NA

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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 7

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

DR. LORNE MATHEW SCHUSSEL

Psychologist (Clinical)