Provider Demographics
NPI:1750900288
Name:SINGER, ELLEN CAROL (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:CAROL
Last Name:SINGER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17416 MACDUFF AVE
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-2071
Mailing Address - Country:US
Mailing Address - Phone:301-502-2082
Mailing Address - Fax:
Practice Address - Street 1:17416 MACDUFF AVE
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-2071
Practice Address - Country:US
Practice Address - Phone:301-502-2082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD070311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical