Jodi Elise Ellsworth, LCSW-C in Lavale, MD - Medicare Social Worker Provider

Jodi Elise Ellsworth, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Lavale, Maryland. Her current practice location is 2 Ellsworth Dr, Lavale, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 912-6153.

Jodi Elise Ellsworth is licensed to practice in Maryland (license number 12713) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245701226.

Contact Information

	Jodi Elise Ellsworth, LCSW-C
	2 Ellsworth Dr, Lavale, MD 21502-4757
	(443) 912-6153
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jodi Elise Ellsworth
Gender	Female
Speciality	Social Worker - Clinical
Location	2 Ellsworth Dr, Lavale, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245701226
Provider Enumeration Date: 12/17/2018
Last Update Date: 12/17/2018

Medicare PECOS Information:

PECOS PAC ID: 8224477344
Enrollment ID: I20240422001770

Medical Identifiers

Medical identifiers for Jodi Elise Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245701226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	12713 (Maryland)	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. Jodi Elise Ellsworth 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
Jodi Elise Ellsworth, LCSW-C 10100 Country Club Rd Se, Cumberland, MD 21502-8339 Ph: () -	Jodi Elise Ellsworth, LCSW-C 2 Ellsworth Dr, Lavale, MD 21502-4757 Ph: (443) 912-6153

Reviews and Comments

Social Worker in Lavale, MD

Caroline Lee Hann, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 922 National Hwy, Lavale, MD 21502 Phone: 240-362-7294 Fax: 240-362-7366
Gary W Long Jr., LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 922 National Hwy, Lavale, MD 21502 Phone: 240-362-7294 Fax: 240-362-7357
Mrs. Sylvia Vaught, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 957 National Hwy, Lavale, MD 21502 Phone: 301-724-7277 Fax: 301-724-7022
Geraldine A Fox, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 922 National Hwy, Lavale, MD 21502 Phone: 240-362-7294

Jodi Elise Ellsworth, LCSW-C - Medicare Clinical Social Worker in Lavale, MD