Individual provider · Type 1 NPI

Petronia Ellis, LMSW

Social Worker · Jackson, MS

NPI number 1184522708 Active

Practice location

5860 Ferncreek Dr
Jackson, MS 39211-3243

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X150.115578 (IL)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1184522708

Petronia Ellis, LMSW's National Provider Identifier is 1184522708, issued on Oct 26, 2026. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Jackson, MS. The record was last updated on Oct 26, 2026.