Ellen Brock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW021094 Issued in PA

Practice address

280 N Providence Rd Ste 2
Media, PA 19063-3525

Phone

(484) 445-4145

NPI assigned

Mar 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychology & Counseling Associates, PC

  • Clinical Psychologist
  • Pottstown, PA
  • NPI 1750303368
  Medicare reassignment
• Providence Living LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Media, PA
  • NPI 1730562711
  NPD

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1174373328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 OLD LANCASTER RD",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N PROVIDENCE RD STE 2",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633525",
            "telephone_number": "484-445-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Breen
• Jennifer Breslin, PSY.D.
• Brian Crispell D.P.M
• Beada Briglia
• Naomi Brinton, PSY.D.
• Brodkohutiak&Jamaliltd
• Ryan Brooke
• A'Sha Mable Brown, M.D.
• Andrew C Brown, DO
• Ann Curran Brown, PHYSICIAN ASSISTANT

• Clinical Social Worker in Media, PA
• Providers in Media, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.