LISA ELLIS (NPI# 1174074215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174074215 |
| Entity Type | Individual |
| Full Name | LISA ELLIS |
| Credential | LCSW |
| Practice Address |
19 4th Ave Sw Ste 2 Conrad MT 59425-2339 |
| Mailing Address |
901 5th Ave Sw Conrad MT 59425-2239 |
| Practice Telephone | 4062891999 |
| Mailing Telephone | 4062891999 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2018-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
18665 | MT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Basin Creek Rd, Butte, MT 597019704 | 4064966314 | 4064941724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255622627 | Lisa Susan Ellis | Occupational Therapist | 1552 Briar Hill Rd, Gladwyne, PA 19035-1203 | 2011-04-20 |
| 1093020083 | Lisa O'neill Ellis | Chiropractor | 210 S Greenville Ave, Suite 200, Richardson, TX 75081-4103 | 2010-08-13 |
| 1487892485 | Lisa A Ellis | Early Intervention Provider Agency | 309 S Fair St, Champaign, IL 61821-3122 | 2009-01-28 |
| 1902042773 | Lisa Marie Ellis | Acupuncturist | 1212 Se Powell Blvd, Suite C, Portland, OR 97202-2460 | 2008-12-29 |
| 1841460359 | Lisa K Ellis | Physical Therapist | 600 Gault Ave S, Fort Payne, AL 35967-1626 | 2008-03-11 |
| 1285271619 | Lisa Jane Ellis | Registered Nurse | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2019-12-04 |
| 1750948683 | Lisa Ellis | Counselor | 610 Valley Health Plz, Paramus, NJ 07652-3607 | 2019-05-27 |
| 1063882454 | Lisa Ellis | Occupational Therapist | 3400 Wilson Ave Sw, Grandville, MI 49418 | 2015-09-29 |
| 1396132056 | Lisa Sue Ellis | Physical Therapist | 2425 Highway 121, Bedford, TX 76021-5011 | 2015-04-21 |
| 1194151555 | Lisa Ellis | Occupational Therapist | 197 Piedmont Blvd Ste 205, Rock Hill, SC 29732-1846 | 2013-09-17 |
| Street Address |
19 4TH AVE SW STE 2 |
| City | CONRAD |
| State | MT |
| Zip Code | 59425-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770866113 | Sandin Craig Barney | Denturist | 302 S. Delaware St., Conrad, MT 59425 | 2011-09-22 |
| 1073675351 | Pondera County | Public Health or Welfare | 311 S. Virginia Street, Suite 1, Conrad, MT 59425 | 2006-12-14 |
| 1609956200 | Jesse T Parks | Pharmacist | 600 South Main, Ste 2, Conrad, MT 59425 | 2006-10-17 |
| 1902992159 | Julie Laine Murack | Chiropractor | 320 1st Ave Sw, Conrad, MT 59425 | 2006-10-05 |
| 1962511154 | Sunset Dental Care PC | Durable Medical Equipment & Medical Supplies | 417 2nd Ave Sw, Conrad, MT 59425 | 2006-08-30 |
| 1588087225 | Steven D. Baliko | Counselor | 600 S Main St, Conrad, MT 59425 | 2014-01-31 |
| 1932243524 | Rosalie Mccormick | Counselor | 315 S Main, Conrad, MT 59425 | 2007-02-16 |
| 1619063864 | Richard Joseph Murack | Chiropractor | 320 1st Ave Sw, Conrad, MT 59425 | 2006-10-05 |
| 1912996935 | Peter Damian Barran | Family Medicine | 809 Sunset Blvd, Suite 4, Conrad, MT 59425 | 2005-10-21 |
| 1396731808 | Norman Lee Walker | Physician Assistant | 805 Sunset Blvd, Conrad, MT 59425 | 2005-09-21 |
| Find all providers in zip 59425 | ||||
| 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 |
|---|---|---|---|---|
| 1770184913 | Elizabeth R. Rogers | Social Worker | 1315 Lewis Ave, Billings, MT 59102-4237 | 2020-11-04 |
| 1386244812 | Scott Mcfarlane | Social Worker | 20 W Evergreen Dr, Evergreen, MT 59901-2810 | 2020-10-26 |
| 1528667227 | Joy A Valentine | Social Worker | 2246 Boot Hill Ct, Bozeman, MT 59715-7248 | 2020-10-22 |
| 1801493804 | Autumn Benedetti | Social Worker | 43 Baron Ln, Eureka, MT 59917-9021 | 2020-10-03 |
| 1235736406 | Tawnya Cazier | Social Worker | 1325 River St Apt B, Missoula, MT 59801-1795 | 2020-10-01 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1689287708 | Middle Cottonwood Counseling Inc | Social Worker | 201 Evergreen Dr Ste A, Bozeman, MT 59715-2461 | 2020-08-28 |
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1326650557 | Bailie Hillen | Social Worker | 1025 N Rodney St, Helena, MT 59601-3550 | 2020-08-19 |
| 1992316608 | Melissa Sundberg | Social Worker | 5751 Daisy Ln, Florence, MT 59833-6533 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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| 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.