Ellen Marie Podeszwa

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801058707 Issued in MI

Practice address

4700 Forest Ridge CT
Rochester, MI 48306-1624

Phone

(248) 840-1692

NPI assigned

Jul 7, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1104497478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 FOREST RIDGE CT",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483061624",
            "telephone_number": "248-840-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 FOREST RIDGE CT",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483061624",
            "telephone_number": "248-840-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODESZWA",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ellen-podeszwa.clientsecure.me",
            "affiliation": "N",
            "address_1": "4700 Forest Ridge Ct",
            "city": "Rochester",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483061624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ewa Pluszczyk, P.T.
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• Anna Pollack, LMSW
• Samantha Marie Ponitz, RD
• Christina M Pourcho
• Raymond Pow, MS, LMFT
• Ryan Pradko, DO

• Clinical Social Worker in Rochester, MI
• Providers in Rochester, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.