Individual provider Active NPI

Elena Marci Podell, LCSW

  • Clinical Social Worker
  • Elmwood Park, NJ
National Provider Identifier
1205304680
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
094571-01 Issued in NY
Practice address
475 Market St Ste 100
Elmwood Park, NJ 07407-3126
Phone
(973) 796-6511
NPI assigned
Nov 5, 2018
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 094571-01 NY Primary

Addresses

Primary practice location

475 Market St Ste 100
Elmwood Park, NJ 07407-3126

Mailing address

475 Market St Ste 100
Elmwood Park, NJ 07407-3126
Phone (973) 796-6511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 21, 2024 through Feb 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
094571-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tete Dumbo LCSW Clinical PastSince Aug 6, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1205304680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 MARKET ST STE 100",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073126",
            "telephone_number": "973-796-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 MARKET ST STE 100",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073126",
            "telephone_number": "973-796-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODELL",
        "first_name": "ELENA",
        "middle_name": "MARCI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2025-09-11",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094571-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

Verify at the official NPI Registry.