Individual provider · Type 1 NPI

Kathryn Olivia Ellis

Clinical Social Worker · Richmond, VA

NPI number 1013885987 Active

Practice location

6800 Paragon Pl Ste 200
Richmond, VA 23230-1652

Fax (757) 970-0274

Other practice locations

  • 7960 Donegan Dr Ste 200, Manassas, VA 20109-8236 · (833) 587-8825

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904019532 (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…

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About NPI 1013885987

Kathryn Olivia Ellis's National Provider Identifier is 1013885987, issued on Oct 23, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richmond, VA. The record was last updated on Oct 15, 2026.