TRACEY B ELLENBOGEN MSW,LCSW
NPI 1134261357
Social Worker - Clinical in Wynnewood, PA

NPI Status: Active since February 13, 2007

Contact Information

300 E LANCASTER AVE
SUITE 207
WYNNEWOOD, PA
ZIP 19096
Phone: (610) 457-6361

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  • Individual
  • Female
  • Social Worker
  • Clinical

About TRACEY ELLENBOGEN

This page provides the complete NPI Profile along with additional information for Tracey Ellenbogen, a provider established in Wynnewood, Pennsylvania with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1134261357 assigned on February 2007. The practitioner's primary taxonomy code is 1041C0700X with license number CW014507 (PA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1134261357
Provider Name
TRACEY B ELLENBOGEN MSW,LCSW
Gender
Female
Entity Type
Individual
Location Address
300 E LANCASTER AVE SUITE 207 WYNNEWOOD, PA 19096
Location Phone
(610) 457-6361
Mailing Address
PO BOX 642 BALA CYNWYD, PA 19004
Mailing Phone
(610) 457-6361
Is Sole Proprietor?
Yes
Enumeration Date
02-13-2007
Last Update Date
07-08-2007
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A clinical social worker like Tracey Ellenbogen is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
CW014507
License State
PA
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134261357
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164462310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 4 + 6 + 2 + 3 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1134261357 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558333583DR. JOHN F NANSTEEL JR. MD
Individual
Internal Medicine300 E LANCASTER AVE SUITE 304, WYNNEWOOD HOUSE
WYNNEWOOD, PA 19096
(610) 642-2002
1891733721DR. PRADEEP AMBADAS LOTHE M.D.
Individual
Internal Medicine300 E LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 649-3040
1891728689 ANDREW IAN SMOLAR MD
Individual
Psychiatry & Neurology (Psychiatry)300 E LANCASTER AVE #209
WYNNEWOOD, PA 19096
(610) 896-9360
1982717468DR. ROBERT HERBERT KUEHNEL PH.D.
Individual
Psychologist (Clinical)300 E LANCASTER AVE SUITE 207
WYNNEWOOD, PA 19096
(610) 291-0105
1497804298DR. DENA SOLOMON PH.D.
Individual
Psychologist300 E LANCASTER AVE 306B
WYNNEWOOD, PA 19096
(610) 649-2956
1386797363DR. ANNE R ROBBINS PSY.D.
Individual
Clinical Neuropsychologist300 E LANCASTER AVE SUITE 309
WYNNEWOOD, PA 19096
(610) 645-5366
1114069226DR. JUDITH SALTZBERG PH.D.
Individual
Psychologist (Clinical)300 E LANCASTER AVE #207
WYNNEWOOD, PA 19096
(610) 642-4140
1770612624DR. THOMAS J DEFINNIS D.M.D., P.C.
Individual
Dentist (General Practice)300 E LANCASTER AVE SUITE 101
WYNNEWOOD, PA 19096
(610) 642-0139
1104045558DR. ANN ELIZABETH EICHEN PH.D.
Individual
Psychologist (Clinical)300 E LANCASTER AVE SUITE 311
WYNNEWOOD, PA 19096
(610) 642-4252
1346457595MS. JUDITH ELLICOTT RADER MA, LMFT
Individual
Marriage & Family Therapist300 E LANCASTER AVE SUITE 211
WYNNEWOOD, PA 19096
(610) 642-2648
1467660415MRS. STEPHANIE KLINE NEWBERG L.C.S.W.
Individual
Social Worker (Clinical)300 E LANCASTER AVE SUITE 211
WYNNEWOOD, PA 19096
(610) 642-2648
1235348814DR. MICHELE MARY MARSH PH.D.
Individual
Psychologist (Clinical Child & Adolescent)300 E LANCASTER AVE WYNNEWOOD HOUSE, SUITE 211
WYNNEWOOD, PA 19096
(215) 575-9140
1003011552DR. RANDY FINGERHUT PH.D.
Individual
Psychologist (Cognitive & Behavioral)300 E LANCASTER AVE SUITE 207
WYNNEWOOD, PA 19096
(215) 951-1284
1659530012MRS. DEBORAH VALDISERRI O'NEILL LCSW
Individual
Social Worker (Clinical)300 E LANCASTER AVE SUITE 306B
WYNNEWOOD, PA 19096
(610) 304-3014
1437312600MS. NANCY C RUTHERFORD NURSE PRACTITIONER
Individual
Nurse Practitioner (Adult Health)300 E LANCASTER AVE SUITE 306B
WYNNEWOOD, PA 19096
(610) 664-7793
1134455264DR. DANIEL ALAN BREGLIA PSYD
Individual
Psychologist (Clinical)300 E LANCASTER AVE 315
WYNNEWOOD, PA 19096
(610) 658-2737
1952514887DR. LESLIE RANA GOEHL PH.D.
Individual
Psychologist (Clinical)300 E LANCASTER AVE SUITE 207
WYNNEWOOD, PA 19096
(610) 667-3785
1912979923DR. JAMES A MORRIS JR. MD
Individual
Internal Medicine300 E LANCASTER AVE SUITE 304, WYNNEWOOD HOUSE
WYNNEWOOD, PA 19096
(610) 642-2002
1427361641DR. HANNAH KLIGER PELTZ PHD LCSW LMFT
Individual
Social Worker (Clinical)300 E LANCASTER AVE SUITE 115
WYNNEWOOD, PA 19096
(610) 896-2100
1013384924THOMAS J. DEFINNIS, DMD, PC
Organization
Dentist (General Practice)300 E LANCASTER AVE SUITE 101
WYNNEWOOD, PA 19096
(610) 642-0139

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134261357, enumerated in the NPI registry as an "individual" on February 13, 2007

The provider is located at 300 E Lancaster Ave Suite 207 Wynnewood, Pa 19096 and the phone number is (610) 457-6361

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on February 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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