Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES BRADLEY ELLIS, LICSW
Active Sole ProprietorJAMES BRADLEY ELLIS, LICSW is a Clinical Social Worker healthcare provider located in FORT PAYNE, Alabama. NPI 1477183754 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FORT PAYNE, AL
Registration Details
- NPI Number
- 1477183754
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2020 (6.5105668434269 yrs)
- Last Updated
- Jan 26, 2020
- License
-
4301C (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1306 67TH ST NWFORT PAYNE, AL, 359678306Browse AL providers · Browse ZIP 35967
- Phone
- 3344254295
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in FORT PAYNE, AL
| Name | Credential | NPI |
|---|---|---|
| MS. ORA GWENDOLYN FOSTER | LCSW | 1023344629 |
| STACEY MCMANUS | LICSW, PIP | 1487094249 |
| OTIS WASHINGTON | LCSW | 1801284005 |
| BRITTANY HALL | LICSW PIP | 1720653496 |
| HEATHER B HENRY | LICSW | 1225794803 |
| TRISTAN BROOKE RICE | LICSW | 1588342786 |
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.