Active NPIIndividual providerSole proprietor

Ms. Judith Ellman, LICSW

Social Worker, Clinical in Jamaica Plain, Massachusetts

NPI Number1336489574
Practice location
157 Green St, Jamaica Plain, MA 02130-2667
Fax
—
Last updated
February 25, 2013

Judith Ellman is a Social Worker, Clinical based in Jamaica Plain, MA. Judith Ellman practices in Jamaica Plain, MA and has the professional credentials of LICSW. The NPI Number for Judith Ellman is 1336489574 and holds a License No. 116158 (MA). The current practice location address for Judith Ellman is 157 Green St, Jamaica Plain, MA 02130-2667 and can be reached out via phone at 617-524-1120.

Provider Profile Details

NPI Number
1336489574
Provider Name
Judith Ellman
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
157 Green St, Jamaica Plain, MA 02130-2667
Phone Number
617-524-1120
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 25, 2013
Last Update Date
February 25, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
157 Green St
Jamaica Plain, MA 02130-2667
Zip
02130-2667
Phone Number
617-524-1120
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
254 Amory St # 2
Jamaica Plain, MA 02130-2310
City
Jamaica Plain
State
MA
Zip
02130-2310
Phone Number
617-458-9828

License Information

License Number
116158
License State
MA
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 Ms. Judith Ellman, LICSW?

The NPI number of Ms. Judith Ellman, LICSW is 1336489574. It was assigned on February 25, 2013 and is currently active in the NPPES registry.

What is the specialty of Ms. Judith Ellman, LICSW?

Ms. Judith Ellman, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116158.

Where does Ms. Judith Ellman, LICSW practice?

The practice location is 157 Green St, Jamaica Plain, MA 02130-2667. The office can be reached at 617-524-1120 (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 1336489574 directly on the NPPES registry website.

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