Individual provider · Type 1 NPI

Timothy Ellis, LCSW

Clinical Social Worker · Elizabethtown, KY

NPI number 1811949142 Active

Practice location

3651 Shepherdsville Rd
Elizabethtown, KY 42701-9511

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	1284 (KY)

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 1811949142

Timothy Ellis, LCSW's National Provider Identifier is 1811949142, issued on May 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elizabethtown, KY. The record was last updated on Oct 3, 2025.