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ELLEN BOVARNICK MBA, MHP, MSW, LICSW
NPI 1770951287
Social Worker - Clinical in Redmond, WA

Active since September 14, 2015Opted out of Medicare · through Jan 12, 2028
24445 NE VINE MAPLE WAY, REDMOND, WA 98053(206) 291-4773 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ellen Bovarnick Mba, Mhp, Msw, Licsw NPPES

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

ELLEN BOVARNICK MBA, MHP, MSW, LICSW (NPI 1770951287) is an individual clinical provider in Redmond, Washington, licensed in Washington (00006514) and active in the NPI registry since September 2015. She has opted out of Medicare through January 12, 2028.

NPPES Registry Identity

NPI1770951287
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLEN BOVARNICKCredential: MBA, MHP, MSW, LICSW
Location Address24445 NE VINE MAPLE WAYRedmond, WA 98053-5677
Mailing Address24445 Ne Vine Maple WayRedmond, WA 98053-5677 · (206) 291-4773
Phone(206) 291-4773
Sole ProprietorYes
Enumeration DateSeptember 14, 2015
✔ NPI 1770951287 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 WA · 00006514
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.
24445 NE VINE MAPLE WAY, Redmond, WA 98053
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Ellen Bovarnick Mba, Mhp, Msw, Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 12, 2022 through January 12, 2028.

Opt-Out Effective DateJanuary 12, 2022
Opt-Out In Effect ThroughJanuary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98053 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 $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 Bovarnick's NPI number?

The NPI number for Ellen Bovarnick is 1770951287. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Where is Ellen Bovarnick located?

Ellen Bovarnick practices at 24445 NE Vine Maple Way, Redmond, WA 98053. The listed phone number is (206) 291-4773.

What is Ellen Bovarnick's specialty?

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

Is Ellen Bovarnick enrolled in Medicare?

No. Ellen Bovarnick has opted out of Medicare through January 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ellen Bovarnick was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.