Individual provider · Type 1 NPI
Tara Ellis, LCSW
Clinical Social Worker · Middletown, CT
Practice location
675 Main St
Middletown, CT 06457-2718
Fax (860) 343-7379
Mailing address
575 Main St 2nd Floor, Attn: Credentialing Dpt
Middletown, CT 06457-2718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 007912 (CT) |
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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- Rachel Miriam Bonaparte, LCSWClinical Social Worker Middletown, CT NPI 1043196959
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- Rachel U. Manemeit, LCSWClinical Social Worker Middletown, CT NPI 1043378383
- Lisbeth Ane Greist, LCSW, LPCAClinical Social Worker Middletown, CT NPI 1043958978
- Walter Livingston Miller, LCSW LADC NCGC IIClinical Social Worker Middletown, CT NPI 1053486365
About NPI 1861719643
Tara Ellis, LCSW's National Provider Identifier is 1861719643, issued on May 3, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Middletown, CT. The record was last updated on Mar 16, 2015.