MEDICARE: LINDSAY ELLIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	090059-01	NY

General Provider Information

NPI Number	:	1730031741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY ELLIS

Provider Business Mailing Address
First Line	:	2109 SAW MILL RIVER RD
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4109
Country	:	US
Telephone Number	:	914-844-8631
Fax Number	:

Provider Business Practice Location Address
First Line	:	2109 SAW MILL RIVER RD
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4109
Country	:	US
Telephone Number	:	914-844-8631
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “ LINDSAY ELLIS ” Practice Location

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