KELLY ANN ELLIS (NPI# 1073548186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073548186 |
| Entity Type | Individual |
| Full Name | KELLY ANN ELLIS |
| Credential | LCSW, PPS |
| Practice Address |
39760 Black Mesa Ln Palm Desert CA 92260 |
| Mailing Address |
Po Box 2805 Rancho Mirage CA 92270-2805 |
| Practice Telephone | 7608324904 |
| Practice Fax Number | 7603004060 |
| Mailing Telephone | 7608324904 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CSW.0992416 | CO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 16686 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615279 | Kelly Ellis | Nurse Practitioner | 585 S Union St, Sparta, MI 49345-1505 | 2020-07-01 |
| 1194346759 | Kelly Nicole Ellis | Registered Nurse | 13819 County Road 1131, Flint, TX 75762-2419 | 2020-05-05 |
| 1205455789 | Kelly Wynell Ellis | Physical Medicine & Rehabilitation | 5502 San Juan Dr, Toledo, OH 43612-3336 | 2020-04-14 |
| 1306348834 | Kelly Ellis | Chore Provider | 5033 Saint Annes Dr, Las Vegas, NV 89149-5717 | 2018-02-28 |
| 1104226109 | Kelly Ellis | Student in an Organized Health Care Education/Training Program | 9621 Fontainebleau Blvd, 515, Miami, FL 33172-6814 | 2014-08-26 |
| 1992014971 | Kelly Michelle Ellis | Technician, Pathology | 4230 Tree Moss Pl, Humble, TX 77346-4560 | 2010-09-24 |
| 1417189929 | Kelly Pinney Ellis | Counselor | 404 Broadway St, Suite B, South Haven, MI 49090-1421 | 2009-08-17 |
| 1922233246 | Kelly Abbott Ellis | Physical Therapist | 4953 Macaw Ct Ne, Marietta, GA 30066-1286 | 2009-05-17 |
| 1407941057 | Kelly Leigh Ellis | Family Medicine | 301 N 27th St Ste 2, Norfolk, NE 68701-4457 | 2006-10-03 |
| 1760778559 | Kelly Ellis | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2011-06-21 |
| Street Address |
39760 BLACK MESA LN |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
| 1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
| 1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
| 1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
| Find all providers in zip 92260 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284356 | Tyler Young | Social Worker | 73140 Guadalupe Ave, Palm Desert, CA 92260-2858 | 2020-10-31 |
| 1245851898 | Elle Lee | Social Worker | 74478 Highway 111 # 377, Palm Desert, CA 92260-4112 | 2020-05-05 |
| 1578129649 | Meredith Abrams | Social Worker | 73165 Fiddleneck Ln, Palm Desert, CA 92260-4763 | 2019-05-14 |
| 1962881979 | Lori Beers | Social Worker | 48536 Desert Flower Dr, Palm Desert, CA 92260-6223 | 2015-05-22 |
| 1669863767 | Miranda Duncan | Social Worker | 74967 Sheryl Ave Ste 6, Palm Desert, CA 92260-2073 | 2015-02-10 |
| 1114237997 | Karen L. Olson | Social Worker | 74710 Highway 111 Ste 102, Palm Desert, CA 92260-3820 | 2010-10-14 |
| 1811221823 | Katrina Kay Bullard | Social Worker | 37596 College Dr, Unit 101, Palm Desert, CA 92211-2928 | 2009-09-23 |
| 1548441629 | Joanne S Williams | Social Worker | 73345 Highway 111 Ste 202, Palm Desert, CA 92260-3909 | 2007-11-17 |
| 1497976559 | Maggie Marilyn Magee | Social Worker | 77-564a Counry Club Drive Suite 136, #136, Palm Desert, CA 92211 | 2007-05-02 |
| 1013134352 | Heidi B Tragesser | Social Worker | 40880 Avenida Calafia, Palm Desert, CA 92260-0367 | 2007-04-19 |
| Find all providers in PALM DESERT | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
Please comment or provide details below to improve the information on KELLY ANN ELLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.