Individual provider · Type 1 NPI

T. Nicole Ellis, LCSW

Clinical Social Worker · Newport News, VA

NPI number 1649609546 Active

Practice location

780 Pilot House Dr Ste 100A
Newport News, VA 23606-4411

Mailing address

1819 Olde Buckingham Rd
Hampton, VA 23669-1916

Other practice locations

  • 1819 Olde Buckingham Rd, Hampton, VA 23669-1916 · (757) 593-3953

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904008384 (VA)

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 1649609546

T. Nicole Ellis, LCSW's National Provider Identifier is 1649609546, issued on Nov 1, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newport News, VA. The record was last updated on Jan 28, 2022.