National Provider Identifier
Ellen Simon Irving, LCSW
Ellen Simon Irving, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Pittsford, NY and a listed phone number of (585) 586-5830.
Profile Overview
- NPI
- 1558450486
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 11, 2006
- Last Updated
- March 05, 2010
Practice Location
- 624A Pittsford Victor RD
- Pittsford, NY 14534-3934
Phone: (585) 586-5830
Mailing Address
- 1399 Monroe Ave
- Rochester, NY 14618-1005
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1558450486
- Entity Type
- Individual
- Last Name
- Irving
- First Name
- Ellen
- Middle Name
- Simon
- Credential
- LCSW
- Mailing Street Address
- 1399 Monroe Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-1005
- Mailing Country
- US
- Mailing Phone
- (585) 414-0269
- Mailing Fax
- (585) 271-0451
- Practice Street Address
- 624A Pittsford Victor RD
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-3934
- Practice Country
- US
- Practice Phone
- (585) 586-5830
- Practice Fax
- (585) 271-0451
- Enumeration Date
- October 11, 2006
- Last Updated
- March 05, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- R040080 (NY, Nys License)