Ellen Lea Waranch, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002306 Issued in VA

Practice address

5000 Corporate Woods Dr
Suite 400
Virginia Beach, VA 23462-4429

Phone

(757) 459-4640

Fax

(757) 459-4643

NPI assigned

Jul 12, 2006

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

Other identifiers 2

Other names 1

• Ms. Ellen Waranch Ashburn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1518992007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CORPORATE WOODS DR",
            "address_2": "SUITE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624429",
            "telephone_number": "757-459-4640",
            "fax_number": "757-459-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CORPORATE WOODS DR",
            "address_2": "SUITE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624429",
            "telephone_number": "757-459-4640",
            "fax_number": "757-459-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARANCH",
        "first_name": "ELLEN",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909148",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "058166",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "ASHBURN",
            "middle_name": "WARANCH",
            "prefix": "MS.",
            "credential": "MSW LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frederick Alton Wampler, LPC
• Sarah Kathleen Wampler, LPC
• Abhner Roycee Wang, O.D.
• Patty Tian Wang, MD
• Randy Earl Wanttaja, M.A., C.C.C.-S.L.P.
• Steven F Waranch, PSYD
• Cindy Warbington
• Bryan G Warburton
• Warby Parker Inc.
• Alison Jean Ward

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.