ELLEN BROCK LCSW
NPI 1174373328
Social Worker - Clinical in Media, PA

Active since March 22, 2024PECOS Enrolled
280 N PROVIDENCE RD STE 2, MEDIA, PA 19063(484) 445-4145 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Brock Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN BROCK LCSW (NPI 1174373328) is an individual clinical provider in Media, Pennsylvania, licensed in Pennsylvania (CW021094) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1174373328
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLEN BROCKCredential: LCSW
Location Address280 N PROVIDENCE RD STE 2Media, PA 19063-3525
Mailing Address62 Old Lancaster RdDevon, PA 19333-1307
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMarch 22, 2024
NPPES CertifiedMarch 1, 2024
NPI 1174373328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in PA · CW021094
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
280 N PROVIDENCE RD STE 2, Media, PA 19063

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ellen Brock Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668948597
PECOS Enrollment IDI20260417003328
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
280 N PROVIDENCE RD STE 2
MEDIA, PA 19063
Social Worker
280 N PROVIDENCE RD STE 2
MEDIA, PA 19063
Clinic/Center (Rehabilitation, Substance Use Disorder)
280 N PROVIDENCE RD STE 2
MEDIA, PA 19063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Brock's NPI number?

The NPI number for Ellen Brock is 1174373328. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Ellen Brock located?

Ellen Brock practices at 280 N Providence Rd Ste 2, Media, PA 19063. The listed phone number is (484) 445-4145.

What is Ellen Brock's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ellen Brock enrolled in Medicare?

Yes. Ellen Brock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellen Brock was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.