Ellen Landrum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21960 Issued in MA

Practice address

267 Flye Point Rd
Brooklin, ME 04616-3225

Phone

(305) 849-0646

Fax

(617) 254-3461

NPI assigned

Oct 23, 2014

Last updated

Feb 10, 2021By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in ME

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

Practice roles

Locations

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.

• Health Affiliates Maine, LLC

  • Community/Behavioral Health Agency
  • Auburn, ME
  • NPI 1932413556
  Medicare reassignment NPD

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1922403666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 FLYE POINT RD",
            "city": "BROOKLIN",
            "state": "ME",
            "postal_code": "046163225",
            "telephone_number": "305-849-0646",
            "fax_number": "617-254-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 FLYE POINT RD",
            "city": "BROOKLIN",
            "state": "ME",
            "postal_code": "046163225",
            "telephone_number": "305-849-0646",
            "fax_number": "617-254-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRUM",
        "first_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "21960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE",
            "identifier": "21960",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MAINE DEPT OF PROFESSIONAL AND FINANCIAL REGULATION",
            "identifier": "LC18429",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION",
            "identifier": "2584582",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Mark Brendze, LMFT
• Marion L Dennis, BILLING SPECIALIST
• Brent S Follweiler, MD
• Paige Elizabeth Morse
• Lukas Aran Schwartz, RN

• Clinical Social Worker in Brooklin, ME
• Providers in Brooklin, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.