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REGINA MARIE ELY LCSW
NPI 1902366198
Social Worker - Clinical in Medford, NY

Active since March 22, 2019
2799 MEDFORD AVE STE 11, MEDFORD, NY 11763(631) 732-5222(631) 732-6222 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 2, 2020, Apr 4, 2020, Mar 22, 2019 (3 updates tracked since 2019).

About Regina Marie Ely Lcsw NPPES

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

REGINA MARIE ELY LCSW (NPI 1902366198) is an individual clinical provider in Medford, New York, licensed in New York (089452) and active in the NPI registry since March 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902366198
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREGINA MARIE ELYCredential: LCSW
Location Address2799 MEDFORD AVE STE 11Medford, NY 11763-2535
Mailing Address29 Lacebark LnMedford, NY 11763-4126 · (631) 807-5996 · Fax (631) 444-0102
Phone(631) 732-5222
Fax(631) 732-6222
Sole ProprietorYes
Enumeration DateMarch 22, 2019
Last NPPES UpdateMarch 18, 20243 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
✔ NPI 1902366198 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 · 089452
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 079964 (NY)
2799 MEDFORD AVE STE 11, Medford, NY 11763
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Secondary Practice Locations 2

Location 11413 Stony Brook RdStony Brook, NY 11790-2214 · Phone (631) 444-0101 ext. 63144 · Fax (631) 444-0102
Location 229 Lacebark LnMedford, NY 11763-4126 · Phone (631) 807-5996

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 Regina Ely's NPI number?

The NPI number for Regina Ely is 1902366198. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Regina Ely located?

Regina Ely practices at 2799 Medford Ave Ste 11, Medford, NY 11763. The listed phone number is (631) 732-5222.

What is Regina Ely'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 Regina Ely was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.