Individual provider · Type 1 NPI

Lori Ellis, LCSW

Clinical Social Worker · St. Petersburg, FL

NPI number 1275790750 Active

Practice location

535 Central Ave, Suite 319
St. Petersburg, FL 33701

Mailing address

439 1/2 20th Ave N
St. Petersburg, FL 33704-4341

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW7158 (FL)

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 1275790750

Lori Ellis, LCSW's National Provider Identifier is 1275790750, issued on May 21, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Petersburg, FL. The record was last updated on May 21, 2008.