Individual provider · Type 1 NPI
James Bradley Ellis, LICSW
Clinical Social Worker · Fort Payne, AL
Practice location
1306 67th St NW
Fort Payne, AL 35967-8306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 4301C (AL) |
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 1477183754
James Bradley Ellis, LICSW's National Provider Identifier is 1477183754, issued on Jan 25, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Payne, AL. The record was last updated on Jan 26, 2020.