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

Mrs. Ellen Rose Tabak, ACSW, MA

Individual provider Clinical Social Worker · NPI 1396743704

Mrs. Ellen Rose Tabak, ACSW, MA is a Clinical Social Worker in Bloomfield Hills, Michigan. Qualified in 1980, 46 years ago. Licensed in Michigan.

Years since qualifying
46
Licensed in
MI
In the registry since
2005
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

101 W Long Lake Rd
Bloomfield Hills, MI 48304-2749
Phone: (248) 480-4965
Fax: (248) 480-4966
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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 6801018478 (MI)

Record details

NPI number1396743704
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACSW , MA
Sole proprietorNo
NPI enumeratedJuly 9, 2005
Last updated in NPPESOctober 7, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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