Individual provider · Type 1 NPI

Ann Ellsworth, LICSW

Clinical Social Worker · Worcester, MA

NPI number 1972001964 Active

Practice location

55 Lake Ave North
Worcester, MA 01655

Mailing address

896 Hampton Rd
Pomfret, CT 06259-2017

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1026315 (MA)

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 1972001964

Ann Ellsworth, LICSW's National Provider Identifier is 1972001964, issued on Jan 25, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Worcester, MA. The record was last updated on Nov 20, 2024.