MR. LAWRENCE A. ELLSWORTH


Address: 8520 Six Forks Rd, Suite 104, Raleigh, NC 27615-3095
Phone: 9198154984

MR. LAWRENCE A. ELLSWORTH (NPI# 1194839308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194839308
Entity Type Individual
Full Name MR. LAWRENCE A. ELLSWORTH
Credential MSSW, LCSW
Practice Address 8520 Six Forks Rd
Suite 104
Raleigh
NC 27615-3095
Mailing Address 5104 Bridget Dr
Raleigh
NC 27603-9332
Practice Telephone 9198154984
Mailing Telephone 9197792964
Mailing Fax Number 9192127826
Enumeration Date 2006-08-18
Last Update Date 2015-07-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker C001070 NC Behavioral Health & Social Service Providers

Office Location

Street Address 8520 SIX FORKS RD
SUITE 104
City RALEIGH
State NC
Zip Code 27615-3095

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356779474 Drake Therapy Services, Pllc Community/Behavioral Health 8520 Six Forks Rd, 104, Raleigh, NC 27615-3095 2013-10-29
1336437912 Royale Healthcare, LLC In Home Supportive Care 8520 Six Forks Rd, Suite 201, Raleigh, NC 27615-3095 2011-07-15
1871806281 Kristy Lynn Matala Psychologist 8520 Six Forks Rd, Ste 204, Raleigh, NC 27615-3095 2010-07-15
1457663296 David Robert Aiello Psychologist 8520 Six Forks Rd, Ste 204, Raleigh, NC 27615-3095 2010-07-09
1699910182 Sharon Lynn Leuenberger Clinical Neuropsychologist 8520 Six Forks Rd, Suite 204, Raleigh, NC 27615-3095 2008-12-11
1770768798 Neuse River Therapy P.a. Specialist 8520 Six Forks Rd, Suite 201, Raleigh, NC 27615-3095 2008-01-09
1144428673 Vinay Saranga Psychiatry & Neurology 8520 Six Forks Rd, Suite 204, Raleigh, NC 27615-3095 2007-07-05
1063531614 Jamie Tuohy Specialist 8520 Six Forks Rd, Suite 201, Raleigh, NC 27615-3095 2007-03-28
1124161302 Grace Hubbard Registered Nurse 8520 Six Forks Rd, Suite 204, Raleigh, NC 27615-3095 2007-02-15
1700929635 Carolina Care & Counseling Inc. Psychologist 8520 Six Forks Rd, Suite 204, Raleigh, NC 27615-3095 2007-02-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588278535 Emily Grace Johnson Behavior Technician 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 2020-09-06
1730706110 Maja V Martin, Dds, Pa1 Clinic/Center 7371 Six Forks Road, Raleigh, NC 27615 2020-07-01
1972146967 Atlantic Avenue Pharmaceutical, Inc Pharmacy 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 2019-10-22
1023503950 Siyara Shannay Dobbs Social Worker 7013 Woodbend Dr Apt H, Raleigh, NC 27615 2018-06-23
1194210153 Brittanie Ja'nell Harris Dentist 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 2018-06-22
1710489448 Sherise Swensen Social Worker 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 2018-03-08
1881100345 Casey Paul Baine Counselor 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 2017-12-20
1588177885 Michael Lacidonia Acupuncturist 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 2017-11-08
1457877631 Matt Henderson Behavioral Analyst 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 2017-08-18
1760907646 Shakeda Muldrow Social Worker 7323 Brookbank Lane, Raleigh, NC 27615 2017-08-11
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609499243 Elizabeth Ranganai Mavindidze Social Worker Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 2020-05-18
1659906758 Cecily Poole Social Worker 7224 Laurelshire Dr, Raleigh, NC 27616-8211 2020-03-09
1871130468 Aubrea Ageda Social Worker 1405 Springshire Ct, Raleigh, NC 27610-2562 2019-12-03
1437704822 Adrienne Latrice Eure Social Worker 7611 Breezy Point Ln Apt 103, Raleigh, NC 27617-6793 2019-08-02
1992362073 Natasha St. Fort Social Worker 6611 Lake Hill Dr Apt K, Raleigh, NC 27609-3494 2019-05-23
1245708155 Alyssa Kadrmas Social Worker 7785 St. Gertrude St, Raleigh, ND 58564 2018-11-08
1144714585 Shannon Larance Social Worker 5113 Six Point Trl, Raleigh, NC 27616-6231 2018-06-19
1891217469 Ariel Jade Harris Social Worker 205 C Farrington Dr., Raleigh, NC 27615 2017-07-14
1134596588 Neida Rodrigues Social Worker 10313 Old Stage Rd, Raleigh, NC 27603-9571 2015-09-01
1033586771 Kathryn Davis Social Worker 4361 Furman Hall Apt 203, Raleigh, NC 27612-4178 2015-08-28
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Competitor

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City RALEIGH
Zip Code 27615

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Dataset Information

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.

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