Active NPIIndividual provider

Mrs. Ann Ellsworth, LICSW

Social Worker, Clinical in Worcester, Massachusetts

NPI Number1972001964
Practice location
55 Lake Ave North, Worcester, MA 01655
Fax
—
Last updated
November 20, 2024

Ann Ellsworth is a Social Worker, Clinical based in Worcester, MA. Ann Ellsworth practices in Worcester, MA and has the professional credentials of LICSW. The NPI Number for Ann Ellsworth is 1972001964 and holds a License No. 1026315 (MA). The current practice location address for Ann Ellsworth is 55 Lake Ave North, Worcester, MA 01655 and can be reached out via phone at 774-303-6888.

Provider Profile Details

NPI Number
1972001964
Provider Name
Ann Ellsworth
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave North, Worcester, MA 01655
Phone Number
774-303-6888
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Ann Connelly, LICSW (Former Name)
Provider Enumeration Date
January 25, 2018
Last Update Date
November 20, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave North
Worcester, MA 01655
Zip
01655
Phone Number
774-303-6888
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
896 Hampton RD
Pomfret, CT 06259-2017
City
Pomfret
State
CT
Zip
06259-2017
Phone Number
617-794-6280

License Information

License Number
1026315
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.

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Frequently Asked Questions

What is the NPI number of Mrs. Ann Ellsworth, LICSW?

The NPI number of Mrs. Ann Ellsworth, LICSW is 1972001964. It was assigned on January 25, 2018 and is currently active in the NPPES registry.

What is the specialty of Mrs. Ann Ellsworth, LICSW?

Mrs. Ann Ellsworth, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1026315.

Where does Mrs. Ann Ellsworth, LICSW practice?

The practice location is 55 Lake Ave North, Worcester, MA 01655. The office can be reached at 774-303-6888 (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 1972001964 directly on the NPPES registry website.

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