ELLEN S GRUDOWSKI (LISW-S) – Social Worker, NPI 1992246623
Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ELLEN S GRUDOWSKI (LISW-S)
PO BOX 78000
DEPT 781625
COLUMBUS, OH 432052618
Phone: (614) 355-8004
Fax: (614) 355-2220
Type: Mailing
655, East Livingston Avenue, Southern Orchards, Columbus, Franklin, Ohio, 43205, United States
COLUMBUS, OH 432052618
Phone: (614) 722-8212
Fax: (614) 722-8422
Type: Location
5655 N HIGH ST STE 4
WORTHINGTON, OH 430853948
Phone: (614) 653-1665
Fax: (614) 618-4721
Type: Mailing
476 AMESBURY DR
GAHANNA, OH 432302370
Phone: (614) 653-1665
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250402001475 | I | Clinical Social Worker | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43205)
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