Individual provider · Type 1 NPI
Stephanie Ann Ellis, LCSW
Clinical Social Worker · Kathleen, GA
Practice location
108 Eastview Ave
Kathleen, GA 31047-2554
Mailing address
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 009622 (GA) |
| Clinical Social Worker Primary | 1041C0700X | 83676 (CA) |
| Clinical Social Worker | 1041C0700X | C009955 (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…
Other clinical social worker providers in Kathleen
- Marinelle Messenger-Reynolds, LCSWClinical Social Worker Kathleen, GA NPI 1255661054
- Shanise Deliveyon Billings, LCSWClinical Social Worker Kathleen, GA NPI 1316672108
- Corey Allen Mungin, LCSWClinical Social Worker Kathleen, GA NPI 1598321069
- Martila HooksClinical Social Worker Kathleen, GA NPI 1619500774
- Thindwia Cabiness-Moore, LCSWClinical Social Worker Kathleen, GA NPI 1679782890
About NPI 1730625294
Stephanie Ann Ellis, LCSW's National Provider Identifier is 1730625294, issued on Jan 9, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kathleen, GA. The record was last updated on Aug 6, 2026.