Jennifer Ellis, LCSW, PMH-C
Social Worker, Clinical in Maplewood, New Jersey
1285509869- Practice location
- 98 Burnett Ave Apt 2C, Maplewood, NJ 07040-3159
- Phone
- 973-519-1247
- Fax
- —
- Last updated
- October 6, 2025
Jennifer Ellis is a Social Worker, Clinical based in Maplewood, NJ. Jennifer Ellis practices in Maplewood, NJ and has the professional credentials of LCSW, PMH-C. The NPI Number for Jennifer Ellis is 1285509869 and holds a License No. 44SC05674400 (NJ). The current practice location address for Jennifer Ellis is 98 Burnett Ave Apt 2C, Maplewood, NJ 07040-3159 and can be reached out via phone at 973-519-1247.
Provider Profile Details
- NPI Number
- 1285509869
- Provider Name
- Jennifer Ellis
- Credential
- LCSW, PMH-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 98 Burnett Ave Apt 2C, Maplewood, NJ 07040-3159
- Phone Number
- 973-519-1247
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 6, 2025
- Last Update Date
- October 6, 2025
- Certification Date
- October 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 98 Burnett Ave Apt 2C
Maplewood, NJ 07040-3159 - City
- Maplewood
- State
- New Jersey
- Zip
- 07040-3159
- Phone Number
- 973-519-1247
Provider Business Mailing Address Details
- Address
- 4 S Orange Ave, Pmb #1208
South Orange, NJ 07079 - City
- South Orange
- State
- NJ
- Zip
- 07079
License Information
- License Number
- 44SC05674400
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jennifer Ellis, LCSW, PMH-C?
The NPI number of Jennifer Ellis, LCSW, PMH-C is 1285509869. It was assigned on October 6, 2025 and is currently active in the NPPES registry.
What is the specialty of Jennifer Ellis, LCSW, PMH-C?
Jennifer Ellis, LCSW, PMH-C is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05674400.
Where does Jennifer Ellis, LCSW, PMH-C practice?
The practice location is 98 Burnett Ave Apt 2C, Maplewood, NJ 07040-3159. The office can be reached at 973-519-1247 (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 1285509869 directly on the NPPES registry website.