Individual provider · Type 1 NPI

Charles Ellis, LCSW-C

Clinical Social Worker · Riverside, CA

NPI number 1215017009 Active

Practice location

4164 Brockton Ave
Riverside, CA 92501-3400

Call (951) 683-5193 Map

Other practice locations

  • 2725 S Jones Blvd Ste 101, Las Vegas, NV 89146-5605 · (725) 214-1378
  • 1501 Division St, Baltimore, MD 21217-3121 · (410) 383-8300

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X5980-C (NV)
Clinical Social Worker 1041C0700X26960 (MD)
Clinical Social Worker Primary 1041C0700XLCS 19143 (CA)

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 1215017009

Charles Ellis, LCSW-C's National Provider Identifier is 1215017009, issued on Oct 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverside, CA. The record was last updated on Oct 9, 2024.