Individual provider · Type 1 NPI
Diante Ellis
Clinical Social Worker · Springfield, MA
Practice location
1049 Main St
Springfield, MA 01103-2114
Fax (413) 304-4666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 221442 (MA) |
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 1407211782
Diante Ellis's National Provider Identifier is 1407211782, issued on Dec 30, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, MA. The record was last updated on Apr 13, 2017.