Individual provider · Type 1 NPI

Beverly Ellison, MSW, LCSW 75361, CST

Clinical Social Worker · San Francisco, CA

NPI number 1316344948 Active

Practice location

1485 Waller Street Apt 203
San Francisco, CA 94117

Call (415) 969-6886 Map

Mailing address

584 Castro St # 2094
San Francisco, CA 94114-2512

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Counselor 101Y00000X75361 (CA)
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X75361 (CA)

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 1316344948

Beverly Ellison, MSW, LCSW 75361, CST's National Provider Identifier is 1316344948, issued on Nov 25, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Francisco, CA. The record was last updated on Mar 18, 2024.