Individual provider · Type 1 NPI

Betty Ellis, LCSW

Clinical Social Worker · Gulf Breeze, FL

NPI number 1811940638 Active

Practice location

91 Bay Bridge Dr
Gulf Breeze, FL 32561-4468

Fax (850) 916-9547

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW5647 (FL)

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 1811940638

Betty Ellis, LCSW's National Provider Identifier is 1811940638, issued on May 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gulf Breeze, FL. The record was last updated on Oct 28, 2011.