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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRIAM BRADSHAW ELLIS, LCSW

Active

MIRIAM BRADSHAW ELLIS, LCSW is a Clinical Social Worker healthcare provider located in UKIAH, California. NPI 1730750704 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · UKIAH, CA

Registration Details

NPI Number
1730750704
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2021 (5.0728967280426 yrs)
Last Updated
Mar 7, 2025
Licenses
94031
112074 (CA)

Practice Information

Address
260 HOSPITAL DR STE 204
UKIAH, CA, 954824568
Browse CA providers · Browse ZIP 95482
Phone
7074637428
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in UKIAH, CA

Name Credential NPI
TERRANCE HAROLD KENNEDY LCSW 1699876920
MS. JENNIFER BENNETT-JORDAN MSW 1609961093
MICHAEL MABANGLO LCSW 1558431528
LORELEI J HAMMOND LCSW 1053477356
EDWARD FOX LCSW 1861549065
MR. KEVIN LOUIS GUTFELD L.C.S.W. 1912058090
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.