Individual provider · Type 1 NPI

Michele Ellis, LCSW

Clinical Social Worker · Far Rockaway, NY

NPI number 1992139331 Active

Practice location

2008 Seagirt Blvd
Far Rockaway, NY 11691-2803

Mailing address

5424 NW Wisk Fern Cir
Port St. Lucie, FL 34986-4364

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X089294 (NY)
Clinical Social Worker Primary 1041C0700XSW18046 (FL)

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 1992139331

Michele Ellis, LCSW's National Provider Identifier is 1992139331, issued on Aug 21, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Far Rockaway, NY. The record was last updated on Feb 19, 2021.