Ellen Dodge, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lyme, Connecticut. Her current practice location is
186 Blood St, Lyme, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 460-0488.
Ellen Dodge is licensed to practice in Connecticut (license number 003078) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346465200.
Healthcare Provider's Profile
Full Name | Ellen Dodge |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 186 Blood St, Lyme, Connecticut |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ellen Dodge attended and graduated from in
NPI Data:
- NPI Number: 1346465200
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 01/02/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ellen Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346465200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 003078 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen Dodge is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ellen Dodge, LCSW 186 Blood St, Lyme, CT 06371-3507 Ph: (860) 460-0488 | Ellen Dodge, LCSW 186 Blood St, Lyme, CT 06371-3507 Ph: (860) 460-0488 |
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