Individual provider Active NPI

Elana Lynn Dobrowolski, LCSW

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1942467709
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05354200 Issued in NJ
Practice address
1930 Marlton Pike E Ste V105
Cherry Hill, NJ 08003-4101
Phone
(856) 751-0505
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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 44SC05354200 NJ Primary

Addresses

Primary practice location

1930 Marlton Pike E Ste V105
Cherry Hill, NJ 08003-4101

Mailing address

1930 Marlton Pike E Ste V105
Cherry Hill, NJ 08003-4101
Phone (856) 751-0505

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150722004659 NJ Practitioner - Clinical Social Worker 3577876317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Meridian Counseling Services, LLCGroup PAC ID 3173835097, 13 clinicians

Practice addresses (Care Compare)

1930 Marlton Pike E
Cherry Hill, NJ 08003-2150
Phone (856) 751-0505

1930 Marlton Pike E
Suite R91
Cherry Hill, NJ 08003-4207
Phone (856) 751-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Counseling Services, LLC Clinical CurrentSince Jul 6, 2015 Accepting new patients

Locations

1930 Route 70 E
Ste M68
Cherry Hill, NJ 08003
Phone (609) 929-3485

1930 Route 70 E
Ste V105
Cherry Hill, NJ 08003
Phone (856) 757-0505

1930 Route 70 E
Ste R91
Cherry Hill, NJ 08003
Phone 8562209672 ext. 138

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1942467709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E STE V105",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034101",
            "telephone_number": "856-751-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E STE V105",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034101",
            "telephone_number": "856-751-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBROWOLSKI",
        "first_name": "ELANA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05354200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.