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

Individual provider Clinical Social Worker · NPI 1134261357

Tracey B Ellenbogen, MSW, LCSW is a Clinical Social Worker in Wynnewood, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

300 E Lancaster Ave Ste 207
Wynnewood, PA 19096-2139
Phone: (610) 457-6361
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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 CW014507 (PA)

Record details

NPI number1134261357
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedFebruary 13, 2007
Last updated in NPPESJuly 8, 2007

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