Individual provider · Type 1 NPI

Ebony Ellis

Clinical Social Worker · Oakland, CA

NPI number 1053447714 Active

Practice location

2607 Myrtle St
Oakland, CA 94607-3415

Call (510) 835-1393 Map

Fax (510) 835-1393

Mailing address

747 52nd St
Oakland, CA 94609-1809

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1053447714

Ebony Ellis's National Provider Identifier is 1053447714, issued on Feb 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakland, CA. The record was last updated on Oct 7, 2020.