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

Ellen Dodge, LCSW

Individual provider Clinical Social Worker · NPI 1346465200

Ellen Dodge, LCSW is a Clinical Social Worker in Lyme, Connecticut. Qualified in 1981, 45 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
45
Licensed in
CT
In the registry since
2007
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

186 Blood St
Lyme, CT 06371-3507
Phone: (860) 460-0488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 567 Vauxhall Street Ext, Waterford, CT 06385-4330 — (860) 460-0488

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 003078 (CT)

Record details

NPI number1346465200
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address186 Blood St, Lyme, CT 06371-3507

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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