Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Susan O'Keeffe Ellis, LCSW-R

Individual provider Clinical Social Worker · NPI 1982693412

MS. Susan O'Keeffe Ellis, LCSW-R is a Clinical Social Worker in Hauppauge, New York. Qualified in 1988, 38 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
38
Licensed in
NY
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

111 Smithtown Byp Ste 108
Hauppauge, NY 11788-2512
Phone: (516) 996-3892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 040240 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence R040240-1 (NY)

Record details

NPI number1982693412
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedOctober 18, 2005
Last updated in NPPESJuly 22, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hauppauge