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

MS. Ellen Susan Lodge, LCSW

Individual provider Clinical Social Worker · NPI 1710040993

MS. Ellen Susan Lodge, LCSW is a Clinical Social Worker in Atascadero, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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

6470 Lewis Ave
Atascadero, CA 93422-4229
Phone: (805) 264-4050
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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 19187 (CA)

Record details

NPI number1710040993
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 18, 2006
Last updated in NPPESJuly 8, 2007

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