Individual provider · Type 1 NPI

Jan Ellis, LCSW

Clinical Social Worker · Butte, MT

NPI number 1902204431 Active

Practice location

3738 Harrison Ave
Butte, MT 59701-6823

Fax (406) 497-7918

Mailing address

90 Tiger St
St. Regis, MT 59866-9757

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9760 (MT)

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 1902204431

Jan Ellis, LCSW's National Provider Identifier is 1902204431, issued on Dec 16, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Butte, MT. The record was last updated on Dec 16, 2014.