MRS. ELLEN ROSE TABAK ACSW, M.A.
NPI 1396743704
Social Worker - Clinical in Bloomfield Hills, MI

Active since July 09, 2005PECOS Enrolled
101 W LONG LAKE RD, BLOOMFIELD HILLS, MI 48304(248) 480-4965(248) 480-4966 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Ellen Rose Tabak Acsw, M.a. NPPES

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

MRS. ELLEN ROSE TABAK ACSW, M.A. (NPI 1396743704) is an individual clinical provider in Bloomfield Hills, Michigan, licensed in Michigan (6801018478) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1396743704
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. ELLEN ROSE TABAKCredential: ACSW, M.A.
Location Address101 W LONG LAKE RDBloomfield Hills, MI 48304-2749
Mailing Address1960 Golf Ridge DrBloomfield Hills, MI 48302-1725 · (248) 538-9666 · Fax (248) 538-9666
Fax(248) 480-4966
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 9, 2005
Last NPPES UpdateOctober 7, 2019
NPI 1396743704 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 MI · 6801018478
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.
101 W LONG LAKE RD, Bloomfield Hills, MI 48304

Other Names 1

Former Name (1)Ms. Ellen Rose Brooks Acsw, M.a.

Other Identifiers 5

Other51940-01Mt Carmel Behavioral Hlth
Other750910718MI · Blue Cross Blue Shield
Other9359445Private Healthcare System
Other247423000Magellan Behavioral Of Mi
Other382778765MI · Cigna / Vendor # 1139981

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Ellen Rose Tabak Acsw, M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406012988
PECOS Enrollment IDI20120727000403
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 48304 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 Tabak's NPI number?

The NPI number for Ellen Tabak is 1396743704. It was assigned to this individual provider in the NPPES registry on July 9, 2005. The provider is also known as Ms. Ellen Rose Brooks Acsw, M.A..

Where is Ellen Tabak located?

Ellen Tabak practices at 101 W Long Lake Rd, Bloomfield Hills, MI 48304. The listed phone number is (248) 480-4965.

What is Ellen Tabak's specialty?

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

Is Ellen Tabak enrolled in Medicare?

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

What insurance does Ellen Tabak accept?

Health plans from Oscar Insurance Company and Priority Health list Ellen Tabak 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 Tabak was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.