Individual provider · Type 1 NPI

Crystal Dawn Ellis, LSCSW

Clinical Social Worker · Joplin, MO

NPI number 1811249048 Active

Practice location

5399 Hwy 43 Bldg B
Joplin, MO 64804-4927

Other practice locations

  • 4012 Five Mile Rd, Seneca, MO 64865-8516 · (620) 423-4775
  • 2512 Crawford Ave, Parsons, KS 67357-2529 · (913) 444-9756
  • 518 C St SE, Miami, OK 74354-8117 · (913) 444-9756

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X21113 (OK)
Clinical Social Worker 1041C0700X2022021360 (MO)
Clinical Social Worker Primary 1041C0700X4761 (KS)

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 1811249048

Crystal Dawn Ellis, LSCSW's National Provider Identifier is 1811249048, issued on Oct 11, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Joplin, MO. The record was last updated on Aug 27, 2024.