Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellen Brock, LCSW

Individual provider Clinical Social Worker · NPI 1174373328

Ellen Brock, LCSW is a Clinical Social Worker in Media, Pennsylvania. Qualified in 1990, 36 years ago. Licensed in Pennsylvania.

Years since qualifying
36
Licensed in
PA
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

280 N Providence Rd Ste 2
Media, PA 19063-3525
Phone: (484) 445-4145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW021094 (PA)

Record details

NPI number1174373328
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 22, 2024
Last updated in NPPESMarch 22, 2024
Certification dateMarch 1, 2024
Mailing address62 Old Lancaster Rd, Devon, PA 19333-1307

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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