Individual provider · Type 1 NPI

Lesley Ann Ellis, LICSW

Clinical Social Worker · Mitchellville, MD

NPI number 1629292032 Active

Practice location

12138 Central Avenue, #662
Mitchellville, MD 20721

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC50078627 (DC)

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 1629292032

Lesley Ann Ellis, LICSW's National Provider Identifier is 1629292032, issued on Apr 13, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mitchellville, MD. The record was last updated on Feb 3, 2011.