Individual provider · Type 1 NPI

Diana A. Ellis, LCSW

Clinical Social Worker · Sunnyvale, CA

NPI number 1346476546 Active

Practice location

877 W Fremont Ave Ste K5
Sunnyvale, CA 94087-2319

Call (408) 517-9835 Map

Mailing address

507 Blueberry Ter
San Jose, CA 95129-1902

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS13911 (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 1346476546

Diana A. Ellis, LCSW's National Provider Identifier is 1346476546, issued on Jun 3, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sunnyvale, CA. The record was last updated on Jun 3, 2009.