Individual provider · Type 1 NPI
Jacqueline Ellis, LCSW-C
Clinical Social Worker · Adamstown, MD
Practice location
5144 Doubs Rd
Adamstown, MD 21710-8919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 28071 (MD) |
| Clinical Social Worker Primary | 1041C0700X | 28071 (MD) |
| Clinical Social Worker | 1041C0700X | 0904017476 (VA) |
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 1003574229
Jacqueline Ellis, LCSW-C's National Provider Identifier is 1003574229, issued on Dec 5, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Adamstown, MD. The record was last updated on Feb 6, 2026.