Individual provider · Type 1 NPI

Nayive Ellis, LSCSW

Clinical Social Worker · Johnson, KS

NPI number 1033594775 Active

Practice location

104 S. Main Street
Johnson, KS 67855

Fax (620) 492-3316

Mailing address

104 S. Main, PO Box 637
Johnson, KS 67855-0637

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X9639 (KS)
Clinical Social Worker Primary 1041C0700X4766 (KS)

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…

About NPI 1033594775

Nayive Ellis, LSCSW's National Provider Identifier is 1033594775, issued on Jul 23, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Johnson, KS. The record was last updated on Sep 24, 2018.