Individual provider · Type 1 NPI

Jill Diane Ellinwood, MA, LCSW, LPC

Mental Health Counselor · Baraboo, WI

NPI number 1275666935 Active

Practice location

505 Broadway St
Baraboo, WI 53913-2183

Call (608) 355-4214 Map

Mailing address

S5789 S Shore Rd
Baraboo, WI 53913-9235

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X647-125 (WI)
Clinical Social Worker 1041C0700X1197-123 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1275666935

Jill Diane Ellinwood, MA, LCSW, LPC's National Provider Identifier is 1275666935, issued on Mar 13, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baraboo, WI. The record was last updated on Sep 11, 2025.