Charles Ellis is a Clinical in Las Vegas, Nevada. Charles Ellis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles Ellis is 1215017009. The last update date is 2021-12-14.
Charles Ellis's current location address is 5130 S. Pecos Road, Las Vegas, Nevada. You can contact this provider via phone number 7025605973 and fax number 8887533302. The mailing address for Charles Ellis is 5130 S. Pecos Road, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Ellis |
|---|---|
| Address | 5130 S. Pecos Road, Las Vegas, Nevada |
| Phone Number | 7025605973 |
| Fax Number | 8887533302 |
| Sole Proprietor | N |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1215017009 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2021-12-14 |
Provider Mailing Address Detail
| Address | 5130 S. Pecos Road |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 89120 |
| Phone Number | 7025605973 |
| Fax Number | 8887533302 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 19143 |
|
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 |
|
Post Comment/ Review Below
What is the Charles Ellis's unique identification number?
The Charles Ellis has been assigned the NPI (National Provider Identifier) Number 1215017009 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Charles Ellis is located?
The Charles Ellis is situated at the following address: 5130 S. Pecos Road, Las Vegas, NV, 89120.
What is Charles Ellis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles Ellis's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215017009 to Charles Ellis?
The Charles Ellis received its 1215017009 assignment from the Centers for Medicare & Medicaid Services on 2006-10-16.
When was the information regarding Charles Ellis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charles Ellis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-14.