Ellen Ruth Dahlquist, LCSW, CADC,LMFC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC01486900 Issued in NJ

Practice address

61 Claremont Rd
Bernardsville, NJ 07924-2200

Phone

(908) 766-1221

Fax

(908) 766-9577

NPI assigned

Feb 25, 2007

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

Medicare fee-for-service enrollment

Enrolled in NJ

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, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558497693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079200007",
            "telephone_number": "908-766-9828",
            "fax_number": "908-766-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CLAREMONT RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242200",
            "telephone_number": "908-766-1221",
            "fax_number": "908-766-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLQUIST",
        "first_name": "ELLEN",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "LCSW, CADC,LMFC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01486900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Eve Cha Fong, M.A, LAC
• Anjali Chand, MD
• Jill Elizabeth Chisholm, NP
• Maria Costea Misthos, MD
• Madison Costello, DMD
• Christopher Michael Dente, OD
• Salvatore Anthony Dirico, LCSW
• Rosina B. Dixon, M.D.
• Amy E. Donoghue, LCSW
• Thomas J Dorsi, RPH

• Clinical Social Worker in Bernardsville, NJ
• Providers in Bernardsville, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.