Mr. Robert E Ellis, LICSW
Counselor, Mental Health in Weymouth, Massachusetts
1366461337- Practice location
- 273 Front St, Weymouth, MA 02188-2202
- Phone
- 781-812-0252
- Fax
- 781-812-0252
- Last updated
- July 8, 2007
Robert Earle Ellis is a Counselor, Mental Health based in Weymouth, MA. Robert Earle Ellis practices in Weymouth, MA and has the professional credentials of LICSW. The NPI Number for Robert Earle Ellis is 1366461337 and holds a License No. 1022916 (MA). The current practice location address for Robert Earle Ellis is 273 Front St, Weymouth, MA 02188-2202 and can be reached out via phone at 781-812-0252 and via fax at 781-812-0252.
Provider Profile Details
- NPI Number
- 1366461337
- Provider Name
- Robert Earle Ellis
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 273 Front St, Weymouth, MA 02188-2202
- Phone Number
- 781-812-0252
- Fax Number
- 781-812-0252
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 19, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 273 Front St
Weymouth, MA 02188-2202 - City
- Weymouth
- State
- Massachusetts
- Zip
- 02188-2202
- Phone Number
- 781-812-0252
- Fax Number
- 781-812-0252
Provider Business Mailing Address Details
- Address
- 273 Front St
Weymouth, MA 02188-2202 - City
- Weymouth
- State
- MA
- Zip
- 02188-2202
- Phone Number
- 781-812-0252
- Fax Number
- 781-812-0252
License Information
- License Number
- 1022916
- License State
- MA
- Taxonomy
- Counselor, Mental Health · 101YM0800X · 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 Mr. Robert E Ellis, LICSW?
The NPI number of Mr. Robert E Ellis, LICSW is 1366461337. It was assigned on July 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Robert E Ellis, LICSW?
Mr. Robert E Ellis, LICSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 1022916.
Where does Mr. Robert E Ellis, LICSW practice?
The practice location is 273 Front St, Weymouth, MA 02188-2202. The office can be reached at 781-812-0252 (phone) or 781-812-0252 (fax).
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 1366461337 directly on the NPPES registry website.