Individual provider · Type 1 NPI

Cynthia Graham Ellis, MSW, LCSW

Clinical Social Worker · Wilmington, NC

NPI number 1760415517 Active

Practice location

3311 Burnt Mill Dr
Wilmington, NC 28403-2654

Fax (910) 251-2652

Mailing address

4609 Tall Tree Ln
Wilmington, NC 28409-3301

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC004286 (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…

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About NPI 1760415517

Cynthia Graham Ellis, MSW, LCSW's National Provider Identifier is 1760415517, issued on Jul 7, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, NC. The record was last updated on Jul 8, 2007.