Active NPIIndividual provider

Dominique Ellis

Social Worker in Dorchester, Massachusetts

NPI Number1629518212
Practice location
50 Redfield St, Suite 300, Dorchester, MA 02122-3630
Fax
—
Last updated
March 1, 2017

Dominique Ellis is a Social Worker based in Dorchester, MA. Dominique Ellis practices in Dorchester, MA. The NPI Number for Dominique Ellis is 1629518212. The current practice location address for Dominique Ellis is 50 Redfield St, Suite 300, Dorchester, MA 02122-3630 and can be reached out via phone at 617-455-9102.

Provider Profile Details

NPI Number
1629518212
Provider Name
Dominique Ellis
Provider Entity Type
Individual
Gender
Female
Address
50 Redfield St, Suite 300, Dorchester, MA 02122-3630
Phone Number
617-455-9102
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
March 1, 2017
Last Update Date
March 1, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Redfield St
Suite 300
Dorchester, MA 02122-3630
Zip
02122-3630
Phone Number
617-455-9102
Dorchester, MA 02122Get directions →

Provider Business Mailing Address Details

Address
50 Redfield St
Suite 300
Dorchester, MA 02122-3630
City
Dorchester
State
MA
Zip
02122-3630

License Information

Taxonomy
Social Worker · 104100000X · 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 Dominique Ellis?

The NPI number of Dominique Ellis is 1629518212. It was assigned on March 1, 2017 and is currently active in the NPPES registry.

What is the specialty of Dominique Ellis?

Dominique Ellis is registered under the primary taxonomy Social Worker (code 104100000X).

Where does Dominique Ellis practice?

The practice location is 50 Redfield St, Suite 300, Dorchester, MA 02122-3630. The office can be reached at 617-455-9102 (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 1629518212 directly on the NPPES registry website.

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