Individual provider · Type 1 NPI

Ellen Susan Lodge, LCSW

Clinical Social Worker · Atascadero, CA

NPI number 1710040993 Active

Practice location

6470 Lewis Ave
Atascadero, CA 93422-4229

Call (805) 264-4050 Map

Mailing address

PO Box 6395
Los Osos, CA 93412-6395

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X19187 (CA)

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 1710040993

Ellen Susan Lodge, LCSW's National Provider Identifier is 1710040993, issued on Dec 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Atascadero, CA. The record was last updated on Jul 8, 2007.