Ellen Dodge, LCSW
Social Worker, Clinical in Lyme, Connecticut
1346465200- Practice location
- 186 Blood St, Lyme, CT 06371-3507
- Phone
- 860-460-0488
- Fax
- —
- Last updated
- January 2, 2024
Ellen Dodge is a Social Worker, Clinical based in Lyme, CT. Ellen Dodge practices in Lyme, CT and has the professional credentials of LCSW. The NPI Number for Ellen Dodge is 1346465200 and holds a License No. 003078 (CT). The current practice location address for Ellen Dodge is 186 Blood St, Lyme, CT 06371-3507 and can be reached out via phone at 860-460-0488.
Provider Profile Details
- NPI Number
- 1346465200
- Provider Name
- Ellen Dodge
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 186 Blood St, Lyme, CT 06371-3507
- Phone Number
- 860-460-0488
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 16, 2007
- Last Update Date
- January 2, 2024
- Certification Date
- January 2, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 186 Blood St
Lyme, CT 06371-3507 - City
- Lyme
- State
- Connecticut
- Zip
- 06371-3507
- Phone Number
- 860-460-0488
Provider Business Mailing Address Details
- Address
- 186 Blood St
Lyme, CT 06371-3507 - City
- Lyme
- State
- CT
- Zip
- 06371-3507
- Phone Number
- 860-460-0488
License Information
- License Number
- 003078
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ellen Dodge, LCSW?
The NPI number of Ellen Dodge, LCSW is 1346465200. It was assigned on April 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Ellen Dodge, LCSW?
Ellen Dodge, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 003078.
Where does Ellen Dodge, LCSW practice?
The practice location is 186 Blood St, Lyme, CT 06371-3507. The office can be reached at 860-460-0488 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346465200 directly on the NPPES registry website.