Individual provider · Type 1 NPI

Kerry Jamison Ellis

Clinical Social Worker · Pensacola, FL

NPI number 1114661550 Active

Practice location

1120 N Palafox St
Pensacola, FL 32501-2608

Call (850) 434-5033 Map

Mailing address

2315 W Jackson St
Pensacola, FL 32505-7552

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW22815 (FL)

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 1114661550

Kerry Jamison Ellis's National Provider Identifier is 1114661550, issued on Apr 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pensacola, FL. The record was last updated on May 20, 2025.