Individual provider · Type 1 NPI

Christopher Bruce Ellison, LCSW

Clinical Social Worker · London, KY

NPI number 1396387064 Active

Practice location

102 W 18th St
London, KY 40741-1050

Call (606) 261-1722 Map

Mailing address

201 N Highway 1223
Corbin, KY 40701-4829

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X259080 (KY)

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 1396387064

Christopher Bruce Ellison, LCSW's National Provider Identifier is 1396387064, issued on Oct 14, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in London, KY. The record was last updated on Jan 31, 2026.