Individual provider · Type 1 NPI

Jesse Wren Ellis, LCSW

Clinical Social Worker · Provo, UT

NPI number 1487165932 Active

Practice location

1157 N 300 W
Provo, UT 84604-6124

Call (801) 357-7525 Map

Mailing address

1034 N 500 W
Provo, UT 84604-3380

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7748699-3501 (UT)

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 1487165932

Jesse Wren Ellis, LCSW's National Provider Identifier is 1487165932, issued on Oct 23, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Oct 23, 2017.