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

Ellen Marie Podeszwa

Individual provider Clinical Social Worker · NPI 1104497478

Ellen Marie Podeszwa is a Clinical Social Worker in Rochester, Michigan. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
39
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

4700 Forest Ridge Ct
Rochester, MI 48306-1624
Phone: (248) 840-1692
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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 6801058707 (MI)

Record details

NPI number1104497478
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 7, 2021
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021
Mailing address4700 Forest Ridge Ct, Rochester, MI 48306-1624

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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