Sonya D Ellis is a Clinical in Gardner, Massachusetts. Sonya D Ellis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sonya D Ellis is 1518003748. The last update date is 2007-07-08.
Sonya D Ellis's current location address is 55 Lake St, Gardner, Massachusetts. You can contact this provider via phone number 5088495648. The mailing address for Sonya D Ellis is 55 Lake St, Gardner, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sonya D Ellis |
|---|---|
| Address | 55 Lake St, Gardner, Massachusetts |
| Phone Number | 5088495648 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1518003748 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 Lake St |
|---|---|
| City | Gardner |
| State | Massachusetts (MA) |
| Post Code | 144038760 |
| Phone Number | 5088495648 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 213516 |
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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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What is the unique identification code assigned to Sonya D Ellis by the Centers for Medicare & Medicaid Services?
The Sonya D Ellis has been issued the NPI (National Provider Identifier) 1518003748. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Sonya D Ellis is geographically located?
The Sonya D Ellis is physically situated at the following location: 55 Lake St, Gardner, MA, 144038760.
What is the Sonya D Ellis's specialty and taxonomy code?
The Sonya D Ellis's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Sonya D Ellis's 1518003748 issued?
The Sonya D Ellis's 1518003748 was issued on 2007-01-29.
As of what date were the details pertaining to Sonya D Ellis last refreshed?
The information related to the Sonya D Ellis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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