Individual provider · Type 1 NPI

Simon Edward Ellis Jr.

Clinical Social Worker · Barling, AR

NPI number 1255582235 Active

Practice location

1311 Fort Street
Barling, AR 72923

Call (479) 452-5040 Map

Mailing address

PO Box 23070
Barling, AR 72923-0070

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2081M (AR)

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 1255582235

Simon Edward Ellis Jr.'s National Provider Identifier is 1255582235, issued on Oct 8, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Barling, AR. The record was last updated on Oct 8, 2008.