Active NPIIndividual providerSole proprietor

Ellen A Moodie, LICSW

Social Worker, Clinical in Upton, Massachusetts

NPI Number1699841650
Practice location
206 Milford St, Upton, MA 01568-1309
Fax
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Last updated
July 8, 2007

Ellen Anne Moodie is a Social Worker, Clinical based in Upton, MA. Ellen Anne Moodie practices in Upton, MA and has the professional credentials of LICSW. The NPI Number for Ellen Anne Moodie is 1699841650 and holds a License No. 1016690 (MA). The current practice location address for Ellen Anne Moodie is 206 Milford St, Upton, MA 01568-1309 and can be reached out via phone at 508-529-7000.

Provider Profile Details

NPI Number
1699841650
Provider Name
Ellen Anne Moodie
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
206 Milford St, Upton, MA 01568-1309
Phone Number
508-529-7000
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
206 Milford St
Upton, MA 01568-1309
City
Upton
Zip
01568-1309
Phone Number
508-529-7000
Upton, MA 01568Get directions →

Provider Business Mailing Address Details

Address
82 Partridge St
Franklin, MA 02038-1519
City
Franklin
State
MA
Zip
02038-1519
Phone Number
508-520-1836

License Information

License Number
1016690
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 A Moodie, LICSW?

The NPI number of Ellen A Moodie, LICSW is 1699841650. It was assigned on November 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Ellen A Moodie, LICSW?

Ellen A Moodie, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1016690.

Where does Ellen A Moodie, LICSW practice?

The practice location is 206 Milford St, Upton, MA 01568-1309. The office can be reached at 508-529-7000 (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 1699841650 directly on the NPPES registry website.

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