Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE ELLIS, LCSW-C
ActiveJACQUELINE ELLIS, LCSW-C is a Clinical Social Worker healthcare provider located in ADAMSTOWN, Maryland. NPI 1003574229 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ADAMSTOWN, MD
Registration Details
- NPI Number
- 1003574229
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 5, 2021 (4.6750296818728 yrs)
- Last Updated
- Feb 6, 2026
- Licenses
-
28071 (MD)28071 (MD)0904017476 (VA)
Practice Information
- Address
-
5144 DOUBS RDADAMSTOWN, MD, 217108919Browse MD providers · Browse ZIP 21710
- Phone
- 2403974356
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in ADAMSTOWN, MD
| Name | Credential | NPI |
|---|---|---|
| PAMELA BRAVO | LCSW-C | 1316769136 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.