Individual provider · Type 1 NPI

Kelly A. Ellis, LCSW

Clinical Social Worker · Palm Desert, CA

NPI number 1073548186 Active

Practice location

39760 Black Mesa Ln
Palm Desert, CA 92260

Mailing address

PO Box 2805
Rancho Mirage, CA 92270-2805

Other practice locations

  • 42222 Rancho Las Palmas Dr #2805, Telehealth, Rancho Mirage, CA 92270 · (760) 832-4904

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCS 16686 (CA)
Clinical Social Worker Primary 1041C0700XCSW.0992416 (CO)

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 1073548186

Kelly A. Ellis, LCSW's National Provider Identifier is 1073548186, issued on Jul 11, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Palm Desert, CA. The record was last updated on Aug 1, 2023.