Individual provider · Type 1 NPI

John M. Ellis, LISW, LICDC

Clinical Social Worker · North Ridgeville, OH

NPI number 1326063363 Active

Practice location

35888 Center Ridge Rd, Suite 5
North Ridgeville, OH 44039-3086

Call (440) 327-1800 Map

Fax (440) 327-1533

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-0009904 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400X923272 (OH)

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 1326063363

John M. Ellis, LISW, LICDC's National Provider Identifier is 1326063363, issued on Jul 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Ridgeville, OH. The record was last updated on Sep 11, 2025.