MEDICARE: MS. ELLEN S. DORFMAN MA, LCSW, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	001903	MO
2	1041C0700X	Clinical Social Worker	003204	MO

General Provider Information

NPI Number	:	1982685939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELLEN S. DORFMAN MA, LCSW, LPC

Provider Business Mailing Address
First Line	:	4231 LACLEDE AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2814
Country	:	US
Telephone Number	:	314-276-9334
Fax Number	:	314-289-9983

Provider Business Practice Location Address
First Line	:	4231 LACLEDE AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2814
Country	:	US
Telephone Number	:	314-276-9334
Fax Number	:	314-289-9983

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	09/11/2025

Similar Medicare Providers

1841392651 — JANIECE N STEWART M.D.
Practice Location Address:

4255 LACLEDE AVE
SAINT LOUIS, MO
63108-2814

Practice Phone: 314-257-0060
Practice Fax: 314-912-0208

1063571016 — DR. MICHAEL L GERDINE D.C
Practice Location Address:

4255 LACLEDE AVE
SAINT LOUIS, MO
63108-2814

Practice Phone: 314-361-4650
Practice Fax: 314-361-4663

1659437101 — MR. DAVID BROWN GALT JR. M.A.
Practice Location Address:

4231 LACLEDE AVE
SAINT LOUIS, MO
63108-2814

Practice Phone: 314-436-8003
Practice Fax: 314-436-8003

1205975182 — DR. DONN CRAIG KLEINSCHMIDT MD
Practice Location Address:

4231 LACLEDE AVE
SAINT LOUIS, MO
63108-2814

Practice Phone: 314-402-6845
Practice Fax: 314-442-4094

1477697746 — MRS. LAURA E. ROMER APRN, BC
Practice Location Address:

4219 LACLEDE AVE , SUITE B
SAINT LOUIS, MO
63108-2814

Practice Phone: 314-286-4545
Practice Fax: 314-286-4542

1811027451 — MARY M. RANDLETT PH.D.
Practice Location Address:

4231 LACLEDE AVE
SAINT LOUIS, MO
63108-2814

Practice Phone: 314-535-5200
Practice Fax: 314-289-9983

Directions to “ MS. ELLEN S. DORFMAN MA, LCSW, LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.