Individual provider · Type 1 NPI

Carmelle Ellison

Clinical Social Worker · San Leandro, CA

NPI number 1740697549 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X76148 (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 1740697549

Carmelle Ellison's National Provider Identifier is 1740697549, issued on Jul 14, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Leandro, CA. The record was last updated on Mar 30, 2017.