Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ELLEN SUSAN LODGE, LCSW
Active Sole ProprietorMS. ELLEN SUSAN LODGE, LCSW is a Clinical Social Worker healthcare provider located in ATASCADERO, California. NPI 1710040993 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ATASCADERO, CA
Registration Details
- NPI Number
- 1710040993
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 18, 2006 (19.63541308739 yrs)
- Last Updated
- Jul 8, 2007
- License
-
19187 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6470 LEWIS AVEATASCADERO, CA, 934224229Browse CA providers · Browse ZIP 93422
- Phone
- 8052644050
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in ATASCADERO, CA
| Name | Credential | NPI |
|---|---|---|
| JOHN C. DALE | L.C.S.W. | 1063439594 |
| MR. RAYMOND MONTE FORD | L.C.S.W. | 1689733578 |
| MR. RICHARD MICHAEL TEUBNER | L.C.S.W. | 1265591614 |
| MS. NANCY KAY GREEN | L.C.S.W | 1902969793 |
| MR. MASON NUTTER | LCSW | 1467594937 |
| MRS. LINDA JOAN BAKER | LCSW | 1053520031 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.