Active NPIIndividual provider

Mr. Jonathan W Ellis, LCSW

Social Worker, Clinical in Jamaica Plain, Massachusetts

NPI Number1689710097
Practice location
161 S Huntington Ave, Jamaica Plain, MA 02130-4885
Fax
—
Last updated
July 8, 2007

Jonathan W. Ellis is a Social Worker, Clinical based in Jamaica Plain, MA. Jonathan W. Ellis practices in Jamaica Plain, MA and has the professional credentials of LCSW. The NPI Number for Jonathan W. Ellis is 1689710097 and holds a License No. 213700 (MA). The current practice location address for Jonathan W. Ellis is 161 S Huntington Ave, Jamaica Plain, MA 02130-4885 and can be reached out via phone at 617-264-5301.

Provider Profile Details

NPI Number
1689710097
Provider Name
Jonathan W. Ellis
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
161 S Huntington Ave, Jamaica Plain, MA 02130-4885
Phone Number
617-264-5301
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 30, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
161 S Huntington Ave
Jamaica Plain, MA 02130-4885
Zip
02130-4885
Phone Number
617-264-5301
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
37 Summit Ave
Sharon, MA 02067-2151
City
Sharon
State
MA
Zip
02067-2151
Phone Number
617-264-5301

License Information

License Number
213700
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.

Other Social Worker, Clinical providers near Jamaica Plain, MA

View all Social Worker, Clinical providers in Jamaica Plain →

Frequently Asked Questions

What is the NPI number of Mr. Jonathan W Ellis, LCSW?

The NPI number of Mr. Jonathan W Ellis, LCSW is 1689710097. It was assigned on January 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Jonathan W Ellis, LCSW?

Mr. Jonathan W Ellis, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 213700.

Where does Mr. Jonathan W Ellis, LCSW practice?

The practice location is 161 S Huntington Ave, Jamaica Plain, MA 02130-4885. The office can be reached at 617-264-5301 (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 1689710097 directly on the NPPES registry website.

Browse related providers