Individual provider · Type 1 NPI

Jakime Lamar Ellison, P-LCSW

Clinical Social Worker · Greensboro, NC

NPI number 1225339260 Active

Practice location

3405 W Wendover Ave, Suite A
Greensboro, NC 27407-2377

Mailing address

724 Creek Ridge Rd, LOT# 142
Greensboro, NC 27406-4821

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XP006095 (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 1225339260

Jakime Lamar Ellison, P-LCSW's National Provider Identifier is 1225339260, issued on Nov 8, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greensboro, NC. The record was last updated on Nov 8, 2010.