Individual provider · Type 1 NPI
Tenisha Harrell Ellis, MSW, ASW #76509
Clinical Social Worker · Foster City, CA
Practice location
1510 Fashion Island Blvd Ste 110
Foster City, CA 94404-5043
Fax (650) 570-4283
Mailing address
1510 Fashion Island Blvd., Suite 110
Foster City, CA 94404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 76509 (CA) |
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 1962924746
Tenisha Harrell Ellis, MSW, ASW #76509's National Provider Identifier is 1962924746, issued on Jul 12, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Foster City, CA. The record was last updated on Jul 21, 2022.