Individual provider · Type 1 NPI
Mazie Ellis, LCSWA
Clinical Social Worker · Fayetteville, NC
Practice location
3605 Camson Rd
Fayetteville, NC 28306-3743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-28501 (NC) |
| Clinical Social Worker Primary | 1041C0700X | P018169 (NC) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
Another provider at this address
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About NPI 1003532052
Mazie Ellis, LCSWA's National Provider Identifier is 1003532052, issued on Oct 12, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Oct 30, 2023.