Individual provider · Type 1 NPI

Jennifer Ellis, LCSW

Clinical Social Worker · Maryville, IL

NPI number 1043631237 Active

Practice location

3 Oak Dr Ste B
Maryville, IL 62062-5635

Call (618) 972-1568 Map

Fax (618) 205-3561

Mailing address

350 N Main St
Hoyleton, IL 62803-2006

Other practice locations

  • 350 N Main St, Hoyleton, IL 62803-2006 · (618) 493-7382

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X149.026388 (IL)

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 1043631237

Jennifer Ellis, LCSW's National Provider Identifier is 1043631237, issued on Dec 15, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maryville, IL. The record was last updated on Nov 21, 2025.