Active NPIIndividual provider

Kimberly Ellis, LICSW

Social Worker, Clinical in Newburyport, Massachusetts

NPI Number1265084461
Practice location
255 Low St Ste 302, Newburyport, MA 01950-3596
Fax
—
Last updated
February 28, 2023

Kimberly Ellis is a Social Worker, Clinical based in Newburyport, MA. Kimberly Ellis practices in Newburyport, MA and has the professional credentials of LICSW. The NPI Number for Kimberly Ellis is 1265084461. The current practice location address for Kimberly Ellis is 255 Low St Ste 302, Newburyport, MA 01950-3596 and can be reached out via phone at 978-222-3121.

Provider Profile Details

NPI Number
1265084461
Provider Name
Kimberly Ellis
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
255 Low St Ste 302, Newburyport, MA 01950-3596
Phone Number
978-222-3121
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 9, 2019
Last Update Date
February 28, 2023
Certification Date
February 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 Low St Ste 302
Newburyport, MA 01950-3596
Zip
01950-3596
Phone Number
978-222-3121
Newburyport, MA 01950Get directions →

Provider Business Mailing Address Details

Address
31 Nancy Ln
Raymond, NH 03077-1839
City
Raymond
State
NH
Zip
03077-1839
Phone Number
781-752-6455

License Information

Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly Ellis, LICSW?

The NPI number of Kimberly Ellis, LICSW is 1265084461. It was assigned on July 9, 2019 and is currently active in the NPPES registry.

What is the specialty of Kimberly Ellis, LICSW?

Kimberly Ellis, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Kimberly Ellis, LICSW practice?

The practice location is 255 Low St Ste 302, Newburyport, MA 01950-3596. The office can be reached at 978-222-3121 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265084461 directly on the NPPES registry website.

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