Individual provider · Type 1 NPI

Antionette Ellis

Clinical Social Worker · Wilson, NC

NPI number 1215760301 Active

Practice location

608 Nash St NE
Wilson, NC 27893-3045

Call (242) 291-2200 Map

Mailing address

3814 Chase Rd NW Apt C
Wilson, NC 27896-8820

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP018391 (NC)

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 1215760301

Antionette Ellis's National Provider Identifier is 1215760301, issued on Aug 23, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilson, NC. The record was last updated on Aug 23, 2024.