Individual provider · Type 1 NPI

Jonathan W. Ellis, LCSW

Clinical Social Worker · Jamaica Plain, MA

NPI number 1689710097 Active

Practice location

161 S Huntington Ave
Jamaica Plain, MA 02130-4885

Mailing address

37 Summit Ave
Sharon, MA 02067-2151

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X213700 (MA)

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 1689710097

Jonathan W. Ellis, LCSW's National Provider Identifier is 1689710097, issued on Jan 30, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jamaica Plain, MA. The record was last updated on Jul 8, 2007.