Individual provider · Type 1 NPI

Teresa Ellsworth, LCSW

Clinical Social Worker · Fort Sam Houston, TX

NPI number 1366650954 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6801066406 (MI)
Clinical Social Worker Primary 1041C0700XSW11351 (FL)
Clinical Social Worker 1041C0700X7780 (TN)
Clinical Social Worker 1041C0700X14528 (SC)

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 1366650954

Teresa Ellsworth, LCSW's National Provider Identifier is 1366650954, issued on May 18, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Apr 13, 2026.