Ellen Bobruff-Reese, MSW, CT LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

81608 Issued in CA

Practice address

2525 Camino del Rio S
Ste 315
San Diego, CA 92108-3784

Phone

(860) 233-5150

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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, 1983

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1265597298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 TOSCANA WAY",
            "address_2": "APT 725",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225321",
            "telephone_number": "860-461-6964",
            "fax_number": "858-247-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CAMINO DEL RIO S",
            "address_2": "STE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083784",
            "telephone_number": "860-233-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBRUFF-REESE",
        "first_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MSW, CT LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81608",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "CT001033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LCSW LICENSE NUMBER",
            "identifier": "CT001033",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Bobich Trevino
• Michael Bobik, PH.D
• Chelsea Nicole Bobis
• Michael Boblett
• David Mathew Bobrow
• Gabriel Anthony Bocanegra, SUB IDC
• Tonilynn Bocchino, MS, BCBA
• Maria Mikayla Boccia
• Benjamin Mark Boche, DO
• Jennifer Boche, DPT

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.