Individual provider · Type 1 NPI

Angela Luana Ellis, LCSW

Social Worker · Rexburg, ID

NPI number 1548976202 Active

Practice location

450 E Main St
Rexburg, ID 83440-2048

Call (208) 359-7689 Map

Fax (208) 488-4265

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW-41785 (ID)
Social Worker Primary 104100000X8861855 (ID)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1548976202

Angela Luana Ellis, LCSW's National Provider Identifier is 1548976202, issued on Jan 26, 2023. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Rexburg, ID. The record was last updated on Aug 28, 2026.