Individual provider · Type 1 NPI

Amanda Ellis, LICSW

Clinical Social Worker · Edina, MN

NPI number 1245680925 Active

Practice location

7400 Metro Blvd Ste 335
Edina, MN 55439-2356

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X25258 (MN)

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 1245680925

Amanda Ellis, LICSW's National Provider Identifier is 1245680925, issued on Jun 14, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Edina, MN. The record was last updated on Jun 19, 2026.