Dodge, Ellen

Dodge, Ellen is an individual health care provider with primary practice located at 186 Blood St , Lyme CT 06371-3507. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dodge, Ellen can be contacted via phone (860) 460-0488.

Contact Information

Primary practice address
186 Blood St Lyme CT 06371-3507
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 003078 Connecticut

Profile Details

NPI number 1346465200
LBN Legal business name Dodge, Ellen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jan 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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