Individual provider · Type 1 NPI

Melissa Ellis, MSW

Clinical Social Worker · Marietta, GA

NPI number 1629925458 Active

Practice location

1511 Johnson Ferry Rd Ste 125
Marietta, GA 30062-6403

Fax (404) 689-6679

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XMSW012912 (GA)

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 1629925458

Melissa Ellis, MSW's National Provider Identifier is 1629925458, issued on Mar 11, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marietta, GA. The record was last updated on Mar 11, 2026.