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ELLEN DODGE LCSW
NPI 1346465200
Social Worker - Clinical in Lyme, CT

Active since April 16, 2007PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ellen Dodge Lcsw NPPES

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

ELLEN DODGE LCSW (NPI 1346465200) is an individual clinical provider in Lyme, Connecticut, licensed in Connecticut (003078) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waterford, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1346465200
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLEN DODGECredential: LCSW
Location Address186 BLOOD STLyme, CT 06371-3507
Mailing Address186 Blood StLyme, CT 06371-3507 · (860) 460-0488
Phone(860) 460-0488
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateApril 16, 2007
Last NPPES UpdateJanuary 2, 2024
NPPES CertifiedJanuary 2, 2024
✔ NPI 1346465200 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 CT · 003078
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.
186 BLOOD ST, Lyme, CT 06371
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Secondary Practice Location 1

Location 1567 Vauxhall Street ExtWaterford, CT 06385-4330 · Phone (860) 460-0488

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ellen Dodge Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678745791
PECOS Enrollment IDI20111017000006
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 06371 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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 Dodge's NPI number?

The NPI number for Ellen Dodge is 1346465200. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Ellen Dodge located?

Ellen Dodge practices at 186 Blood St, Lyme, CT 06371. The listed phone number is (860) 460-0488.

What is Ellen Dodge's specialty?

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

Is Ellen Dodge enrolled in Medicare?

Yes. Ellen Dodge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ellen Dodge accept?

Health plans from Providence Health Plan list Ellen Dodge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellen Dodge was last updated on January 2, 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.