Individual provider · Type 1 NPI

Emmaly Ellis, LCSW, MSW

Clinical Social Worker · Nevada, MO

NPI number 1801508155 Active

Practice location

1819 W Austin
Nevada, MO 64772-2202

Mailing address

PO Box 91
Nevada, MO 64772-0091

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2024048942 (MO)

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 1801508155

Emmaly Ellis, LCSW, MSW's National Provider Identifier is 1801508155, issued on Dec 19, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Nevada, MO. The record was last updated on Aug 17, 2026.