Ebony Ellis is a Clinical in Oakland, California. Ebony Ellis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ebony Ellis is 1053447714. The last update date is 2020-10-07.
Ebony Ellis's current location address is 2607 Myrtle St, Oakland, California. You can contact this provider via phone number 5108351393 and fax number 5108351393. The mailing address for Ebony Ellis is 2607 Myrtle St, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ebony Ellis |
|---|---|
| Address | 2607 Myrtle St, Oakland, California |
| Phone Number | 5108351393 |
| Fax Number | 5108351393 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1053447714 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2020-10-07 |
Provider Mailing Address Detail
| Address | 2607 Myrtle St |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946073415 |
| Phone Number | 5108351393 |
| Fax Number | 5108351393 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ebony Ellis by the Centers for Medicare & Medicaid Services?
The Ebony Ellis has been assigned the NPI (National Provider Identifier) 1053447714 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Ebony Ellis is located?
The Ebony Ellis is situated at the following address: 2607 Myrtle St, Oakland, CA, 946073415.
What is the Ebony Ellis's specialty and taxonomy code?
The Ebony Ellis's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Ebony Ellis's 1053447714 issued?
The Ebony Ellis's 1053447714 was issued on 2007-02-26.
As of what date was the information regarding Ebony Ellis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ebony Ellis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-07.
NPI Number: 1902809924
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