Individual provider · Type 1 NPI
Elizabeth Elaine Ellis, LISW
Clinical Social Worker · Fort Benning, GA
Practice location
7950 Marne Rd
Fort Benning, GA 31905-3175
Mailing address
7715 Aurora Dr
Columbus, GA 31909-1601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | I 06307 (NM) |
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 1750458063
Elizabeth Elaine Ellis, LISW's National Provider Identifier is 1750458063, issued on Nov 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Benning, GA. The record was last updated on Nov 18, 2014.