Individual provider · Type 1 NPI

Susan Elizabeth Ellwanger, LCSW

Clinical Social Worker · Lott, TX

NPI number 1134098163 Active

Practice location

401 E Falls Rd
Lott, TX 76656-4056

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X67470 (TX)

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…

About NPI 1134098163

Susan Elizabeth Ellwanger, LCSW's National Provider Identifier is 1134098163, issued on Oct 29, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lott, TX. The record was last updated on Oct 29, 2025.