Individual provider · Type 1 NPI

Blake Ellis, MSW, ASW

Clinical Social Worker · Chico, CA

NPI number 1669356010 Active

Practice location

95 Declaration Dr Ste 2
Chico, CA 95973-4916

Call (530) 570-7180 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW114597 (CA)

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 1669356010

Blake Ellis, MSW, ASW's National Provider Identifier is 1669356010, issued on Jul 31, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chico, CA. The record was last updated on Jul 31, 2025.