Ellen Dodge, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lyme, Connecticut. She graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Clinical Social Worker. 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 | Clinical Social Worker |
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Experience | 43 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 graduated from medical school in 1981
NPI Data:
- NPI Number: 1346465200
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 01/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678745791
- Enrollment ID: I20111017000006
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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