Individual provider · Type 1 NPI

Ellen G. Eisenberg, SW

Clinical Social Worker · Hampton, VA

NPI number 1063458511 Active

Practice location

100 Emancipation Dr
Hampton, VA 23667-0001

Fax (757) 728-3194

Mailing address

13 Jonquil Ln
Newport News, VA 23606-1507

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904003095 (VA)

Clinical Social Worker: 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 interpers…

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About NPI 1063458511

Ellen G. Eisenberg, SW's National Provider Identifier is 1063458511, issued on Jun 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hampton, VA. The record was last updated on Jul 13, 2026.