Betty Ellis is a Clinical in Gulf Breeze, Florida. Betty Ellis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Betty Ellis is 1811940638. The last update date is 2011-10-28.
Betty Ellis's current location address is 91 Bay Bridge Dr, Gulf Breeze, Florida. You can contact this provider via phone number 8502910340 and fax number 8509169547. The mailing address for Betty Ellis is 91 Bay Bridge Dr, Gulf Breeze, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Betty Ellis |
|---|---|
| Address | 91 Bay Bridge Dr, Gulf Breeze, Florida |
| Phone Number | 8502910340 |
| Fax Number | 8509169547 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1811940638 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2011-10-28 |
Provider Mailing Address Detail
| Address | 91 Bay Bridge Dr |
|---|---|
| City | Gulf Breeze |
| State | Florida (FL) |
| Post Code | 325614468 |
| Phone Number | 8502910340 |
| Fax Number | 8509169547 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW5647 |
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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 identifier code issued to Betty Ellis by the Centers for Medicare & Medicaid Services?
The Betty Ellis has been assigned the NPI (National Provider Identifier) 1811940638 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Betty Ellis is physically located?
The Betty Ellis is physically situated at the following address: 91 Bay Bridge Dr, Gulf Breeze, FL, 325614468.
What is the Betty Ellis's specialty and taxonomy code?
The Betty Ellis's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811940638 to Betty Ellis?
The Betty Ellis received its 1811940638 assignment from the Centers for Medicare & Medicaid Services on 2006-05-19.
As of what date were the details related to Betty Ellis most recently updated or revised?
The information pertaining to Betty Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-28.