Individual provider · Type 1 NPI

Kimberly E. Ellis, MSW, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1457724841 Active

Practice location

811 Central Ave Ste 8
Charlotte, NC 28204-2015

Call (484) 868-0226 Map

Other practice locations

207 Berryfield Dr, Greensboro, NC 27410-9980 · (484) 868-0226

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	C011215 (NC)

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 1457724841

Kimberly E. Ellis, MSW, LCSW's National Provider Identifier is 1457724841, issued on Nov 5, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Apr 21, 2026.