Individual provider · Type 1 NPI

Michael Frederick Ellis, LCSW

Clinical Social Worker · Winchester, VA

NPI number 1184288961 Active

Practice location

2913 Pleasant Valley Avenue, Suite 125
Winchester, VA 22601

Mailing address

118 Duwamish Trl
Winchester, VA 22602-1314

Other practice locations

  • 817 Cedar Creek Grade, Winchester, VA 22601-6460 · (540) 450-2734

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904011034 (VA)

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 1184288961

Michael Frederick Ellis, LCSW's National Provider Identifier is 1184288961, issued on Apr 26, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winchester, VA. The record was last updated on Apr 26, 2019.