Individual provider · Type 1 NPI

Misty Robinson Ellis

Clinical Social Worker · Clemmons, NC

NPI number 1669212890 Active

Practice location

2554 Lewisville Clemmons Rd Ste 112
Clemmons, NC 27012-9927

Call (336) 283-2510 Map

Mailing address

PO Box 14121
Augusta, GA 30919-0121

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP020742 (NC)

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 1669212890

Misty Robinson Ellis's National Provider Identifier is 1669212890, issued on May 27, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clemmons, NC. The record was last updated on Jun 19, 2024.