Individual provider · Type 1 NPI

Vickie R. Ellis, LCSW

Clinical Social Worker · Fort Meade, MD

NPI number 1104069061 Active

Practice location

Fort George G. Meade, Meddac Headquarters, 2480 Llewellyn Ave., Ste 5800
Fort Meade, MD 20755-5129

Mailing address

2480 Llewellyn Ave Ste 5800
Fort Meade, MD 20755-5129

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904007011

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 1104069061

Vickie R. Ellis, LCSW's National Provider Identifier is 1104069061, issued on Apr 8, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Meade, MD. The record was last updated on Jan 4, 2024.