Individual provider · Type 1 NPI

Judith Ellison, LCSW

Clinical Social Worker · St. Louis, MO

NPI number 1861669566 Active

Practice location

3738 Chouteau Ave, Suite 200
St. Louis, MO 63110-2546

Fax (314) 772-7988

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	005117 (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 1861669566

Judith Ellison, LCSW's National Provider Identifier is 1861669566, issued on May 12, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis, MO. The record was last updated on May 12, 2008.