Individual provider · Type 1 NPI
Donna Elise Ellenbogen
Clinical Social Worker · New York, NY
Practice location
152 E 84th St
New York, NY 10028-2025
Mailing address
51 Westmount Dr
Livingston, NJ 07039-4230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC85210000 (NJ) |
| Clinical Social Worker Primary | 1041C0700X | 078097-1 (NY) |
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 1912523945
Donna Elise Ellenbogen's National Provider Identifier is 1912523945, issued on Jun 25, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jun 25, 2020.