Individual provider · Type 1 NPI

Jennifer Lyn Ellis, LCSW

Clinical Social Worker · Bridgeport, CT

NPI number 1326539602 Active

Practice location

743 South Ave
Bridgeport, CT 06604-5810

Fax (203) 382-1435

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X007975 (CT)

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 1326539602

Jennifer Lyn Ellis, LCSW's National Provider Identifier is 1326539602, issued on May 23, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bridgeport, CT. The record was last updated on May 23, 2018.