Ellen Sharon Margolis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1328 Issued in OR

Practice address

240 Luther St S
Salem, OR 97302-5217

Phone

(503) 361-7797

Fax

(503) 361-7713

NPI assigned

Nov 28, 2005

Last updated

Oct 27, 2023By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1184607822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 LUTHER ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025217",
            "telephone_number": "503-361-7797",
            "fax_number": "503-361-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LUTHER ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025217",
            "telephone_number": "503-361-7797",
            "fax_number": "503-361-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLIS",
        "first_name": "ELLEN",
        "middle_name": "SHARON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "1328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "084686000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFEWISE",
            "identifier": "272919100000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "01686",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilma Jean Marchbanks, AA
• Talia Elise Marcucci, MSW
• Brigitte Ivonne Marenin, CCC-SLP
• Calli Marg, OTR/L
• Margaret Giruc DDS PC
• Anya Mariante
• Stephen Dario Marick, LCSW
• Jeanette Catherine Marie, M.S.
• Marigold Massage and Bodywork, LLC
• Aria Theresa Marinelli, CHW

• Clinical Social Worker in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.