Individual provider · Type 1 NPI

Desti A. Ellis, LCSW, CAS

Clinical Social Worker · Modesto, CA

NPI number 1336589290 Active

Practice location

500 N 9th St Ste C
Modesto, CA 95350-5814

Call (209) 558-4420 Map

Mailing address

800 Scenic Dr Bldg 4
Modesto, CA 95350-6131

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1336589290

Desti A. Ellis, LCSW, CAS's National Provider Identifier is 1336589290, issued on Jun 25, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Modesto, CA. The record was last updated on Jan 26, 2018.