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Samantha Michelle Ellis, BA
Peer Specialist in Milwaukie, Oregon
NPI 1841652567

Samantha Michelle Ellis is a Peer Specialist based in Milwaukie, OR. Samantha Michelle Ellis practices in Milwaukie, OR and has the professional credentials of BA. The NPI Number for Samantha Michelle Ellis is 1841652567 and holds a License No. CG 60478731 (Oregon).

The current practice location address for Samantha Michelle Ellis is 11097 Se 21St Ave, Milwaukie, OR and can be reached out via phone at 971-401-0364. You can also correspond with Samantha Michelle Ellis through the mailing address at 11097 SE 21ST AVE, MILWAUKIE, OR - 97222-7640 (mailing address contact number: 971-401-0364).

Location: 11097 Se 21St Ave, Milwaukie, OR, 97222-7640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841652567
Provider Name
Samantha Michelle Ellis
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
11097 Se 21St Ave, Milwaukie, OR, 97222-7640
Phone Number
971-401-0364
Fax Number
Provider Enumeration Date
03/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11097 Se 21St Ave
City
Milwaukie
State
Oregon
Zip
97222-7640
Phone Number
971-401-0364
Fax Number
person
Provider Business Mailing Address Details
Address
11097 Se 21St Ave
City
Milwaukie
State
Oregon
Zip
97222-7640
Phone Number
971-401-0364
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
THW000002555 (Oregon)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG 60478731 (Washington)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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