Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLIS VERNON III, LCSW
ActiveELLIS VERNON III, LCSW is a Clinical Social Worker healthcare provider located in HAWTHORNE, California. NPI 1700275625 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · HAWTHORNE, CA
Registration Details
- NPI Number
- 1700275625
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2015 (11.572571043548 yrs)
- Last Updated
- Mar 10, 2021
- Licenses
-
ASW59508 (CA)LCSW82566 (CA)
Practice Information
- Address
-
2311 W. EL SEGUNDO BLVDHAWTHORNE, CA, 90250Browse CA providers · Browse ZIP 90250
- Phone
- 3232416733
- Fax
- 3237561163
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in HAWTHORNE, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. EVELYN CARACCIOLO MAGCALAS | LCSW | 1295878882 |
| MS. TYRA CHERISE TORIAN | LCSW | 1366567968 |
| MRS. FANY STEFANOVA TOSHKOV | LCSW | 1124214754 |
| MS. AILEEN M MALIG | — | 1891967162 |
| MS. BLANCA ESTELA AMAYA | — | 1518121060 |
| MRS. ALKA BHATT BHAKTA | L.C.S.W | 1295981298 |
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.