Lori Ellis is a Clinical in St Petersburg, Florida. Lori Ellis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lori Ellis is 1275790750. The last update date is 2008-05-21.
Lori Ellis's current location address is 439 1/2 20th Ave N, St Petersburg, Florida. You can contact this provider via phone number 7275608851. The mailing address for Lori Ellis is 439 1/2 20th Ave N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori Ellis |
|---|---|
| Address | 439 1/2 20th Ave N, St Petersburg, Florida |
| Phone Number | 7275608851 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1275790750 |
|---|---|
| Provider Enumeration Date | 2008-05-21 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 439 1/2 20th Ave N |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337044341 |
| Phone Number | 7275608851 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW7158 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 686272100 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Lori Ellis by the Centers for Medicare & Medicaid Services?
The Lori Ellis has been issued the NPI (National Provider Identifier) 1275790750. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lori Ellis located?
The Lori Ellis is located at 439 1/2 20Th Ave N, St Petersburg, FL 337044341.
What is the Lori Ellis's specialty and taxonomy code?
The Lori Ellis's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275790750 to Lori Ellis?
The Centers for Medicare & Medicaid Services originally issued the 1275790750 to Lori Ellis on 2008-05-21.
As of what date were the details pertaining to Lori Ellis last refreshed?
The information related to the Lori Ellis, including its address, specialty, and other relevant details, was last updated on 2008-05-21.