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

Michele Ellis, LCSW

Individual provider Social Worker · NPI 1992139331

Michele Ellis, LCSW is a Clinical Social Worker in Far Rockaway, New York. Qualified in 2012, 14 years ago. Practices with Brightside Health Inc, a 215-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and New York.

Years since qualifying
14
Licensed in
FL, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2008 Seagirt Blvd
Far Rockaway, NY 11691-2803
Phone: (718) 471-4881
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 · Licence SW18046 (FL)
Social Worker Taxonomy 104100000X · Licence 089294 (NY)

Record details

NPI number1992139331
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 21, 2013
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 19, 2021
Mailing address5424 Nw Wisk Fern Cir, Port St Lucie, FL 34986-4364

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Brightside Health Inc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Far Rockaway