Individual provider · Type 1 NPI

Michael Flint Ellis, LCSW

Clinical Social Worker · Ithaca, NY

NPI number 1467762393 Active

Practice location

91 Nelson Rd
Ithaca, NY 14850-9452

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X085226 (NY)

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 1467762393

Michael Flint Ellis, LCSW's National Provider Identifier is 1467762393, issued on Oct 13, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Aug 12, 2026.