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Mr. Charles Ellis, LCSW-C
Clinical Social Worker in Riverside, California
NPI 1215017009

Charles Ellis is a Clinical Social Worker based in Riverside, CA and is specialized in Clinical. Charles Ellis practices in Riverside, CA and has the professional credentials of LCSW-C. The NPI Number for Charles Ellis is 1215017009 and holds a License No. 5980-C (California).

The current practice location address for Charles Ellis is 4164 Brockton Ave, Riverside, CA and can be reached out via phone at 951-683-5193.

Location: 4164 Brockton Ave, Riverside, CA, 92501-3400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215017009
Provider Name
Charles Ellis
Credential
LCSW-C
Provider Entity Type
Individual
Gender
Male
Address
4164 Brockton Ave, Riverside, CA, 92501-3400
Phone Number
951-683-5193
Fax Number
Provider Enumeration Date
10/16/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982975009 05 NV
institution
Provider Business Practice Location Address Details
Address
4164 Brockton Ave
City
Riverside
State
California
Zip
92501-3400
Phone Number
951-683-5193
Fax Number
person
Provider Business Mailing Address Details
Address
4164 Brockton Ave
City
Riverside
State
California
Zip
92501-3400
Phone Number
951-683-5193
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
5980-C (Nevada)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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