Individual provider · Type 1 NPI

Mara Nellis, LCSW

Clinical Social Worker · New York, NY

NPI number 1003878331 Active

Practice location

161 W 54th St, Apt 202
New York, NY 10019-5454

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X072722-1 (NY)

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…

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About NPI 1003878331

Mara Nellis, LCSW's National Provider Identifier is 1003878331, issued on Apr 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jul 13, 2026.