Amy Ellentuck, LICSW
Social Worker, Clinical in Lowell, Massachusetts
1801378344- Practice location
- 50 Fr Morissette Blvd, Lowell, MA 01852-1037
- Phone
- 781-640-8094
- Fax
- —
- Last updated
- August 31, 2018
Amy Ellentuck is a Social Worker, Clinical based in Lowell, MA. Amy Ellentuck practices in Lowell, MA and has the professional credentials of LICSW. The NPI Number for Amy Ellentuck is 1801378344 and holds a License No. 1016302 (MA). The current practice location address for Amy Ellentuck is 50 Fr Morissette Blvd, Lowell, MA 01852-1037 and can be reached out via phone at 781-640-8094.
Provider Profile Details
- NPI Number
- 1801378344
- Provider Name
- Amy Ellentuck
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 50 Fr Morissette Blvd, Lowell, MA 01852-1037
- Phone Number
- 781-640-8094
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 31, 2018
- Last Update Date
- August 31, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Fr Morissette Blvd
Lowell, MA 01852-1037 - City
- Lowell
- State
- Massachusetts
- Zip
- 01852-1037
- Phone Number
- 781-640-8094
Provider Business Mailing Address Details
- Address
- 50 Fr Morissette Blvd
Lowell, MA 01852-1037 - City
- Lowell
- State
- MA
- Zip
- 01852-1037
- Phone Number
- 789-275-6320
License Information
- License Number
- 1016302
- License State
- MA
- 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. | |||
Other Social Worker, Clinical providers near Lowell, MA
View all Social Worker, Clinical providers in Lowell →- Abbi MacfarlaneSocial Worker, Clinical · NPI 1659754844
- Alan RileySocial Worker, Clinical · NPI 1659050763
- Alexandra T Jones, LCSWSocial Worker, Clinical · NPI 1700411394
- Allan N Anderson, LICSWSocial Worker, Clinical · NPI 1720186505
- Amanda Sundheimer, MSWSocial Worker, Clinical · NPI 1699515825
- Amy Apperti, MSWSocial Worker, Clinical · NPI 1114140522
Frequently Asked Questions
What is the NPI number of Amy Ellentuck, LICSW?
The NPI number of Amy Ellentuck, LICSW is 1801378344. It was assigned on August 31, 2018 and is currently active in the NPPES registry.
What is the specialty of Amy Ellentuck, LICSW?
Amy Ellentuck, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1016302.
Where does Amy Ellentuck, LICSW practice?
The practice location is 50 Fr Morissette Blvd, Lowell, MA 01852-1037. The office can be reached at 781-640-8094 (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 1801378344 directly on the NPPES registry website.