Individual provider Active NPI

Megan Jane Ellow

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1992022727
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001629 Issued in DE
Practice address
24A Trolley SQ # 1134
Wilmington, DE 19806-3334
Phone
(484) 904-2753
NPI assigned
May 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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 Q1-0001629 DE Primary

Addresses

Primary practice location

24A Trolley SQ # 1134
Wilmington, DE 19806-3334

Mailing address

104 Valley View Rd
Media, PA 19063-1431
Phone (484) 904-2753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001629DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nest Counesling LLC Clinical CurrentSince Aug 18, 2024 Accepting new patients

Locations

110 Baltimore Pike
Ste A
Springfield, PA 19064
Phone (484) 904-2753

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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1992022727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 VALLEY VIEW RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631431",
            "telephone_number": "484-904-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24A TROLLEY SQ # 1134",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063334",
            "telephone_number": "484-904-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLOW",
        "first_name": "MEGAN",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.