Individual provider · Type 1 NPI
Jennifer Ellis, LCSW, PMH-C
Clinical Social Worker · Maplewood, NJ
Practice location
98 Burnett Ave Apt 2C
Maplewood, NJ 07040-3159
Mailing address
4 S Orange Ave, Pmb #1208
South Orange, NJ 07079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 44SC05674400 (NJ) |
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 1285509869
Jennifer Ellis, LCSW, PMH-C's National Provider Identifier is 1285509869, issued on Oct 6, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maplewood, NJ. The record was last updated on Oct 6, 2025.