Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellen Theresa Jay

Individual provider Clinical Social Worker · NPI 1063107704

Ellen Theresa Jay is a Clinical Social Worker in Woodbury, New York. Qualified in 1968, 58 years ago. Practices with Samuel Field Ymandywha, a 22-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
58
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

157 Fox Hollow Rd
Woodbury, NY 11797-1606
Phone: (516) 707-8677
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1063107704
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 10, 2023
Last updated in NPPESApril 10, 2023
Certification dateApril 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1968 (58 years in practice)
Group practice Samuel Field Ymandywha — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Woodbury