MR. MARK DALTON ELLIS (NPI# 1336401710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336401710 |
| Entity Type | Individual |
| Full Name | MR. MARK DALTON ELLIS |
| Credential | LMSW |
| Practice Address |
1418 Fillmore St Twin Falls ID 83301-3380 |
| Practice Telephone | 2087352237 |
| Mailing Telephone | 2087352237 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2013-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-32484 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972897080 | Mark Ellis | Podiatrist | 12592 S 150 E, Draper, UT 84020-8611 | 2011-06-06 |
| 1659682219 | Mark Kenneth Ellis | Emergency Medicine | 2 5th Ave Apt 2d, New York, NY 10011-8832 | 2010-06-29 |
| 1174661672 | Mark Joseph Ellis | Chiropractor | 41 Western Avenue, Rochester, NH 03867 | 2007-02-05 |
| 1336204171 | Mark J Ellis | Respiratory Therapist, Certified | 1101 Jefferson Blvd, Hagerstown, MD 21742-5037 | 2006-12-22 |
| 1184719262 | Mark Allen Ellis | Dentist | 910 Averitt Rd, Greenwood, IN 46143-9540 | 2006-10-04 |
| 1437240124 | Mark Owen Ellis | Podiatrist | 582 22nd Street, Astoria, OR 97103 | 2006-09-27 |
| 1083632244 | Mark Brian Ellis | Family Medicine | 1018 Rucker Blvd, Ste A, Enterprise, AL 36330-3675 | 2006-07-17 |
| 1265426894 | Mark Alan Ellis | Dentist | 951 Riverfront Pkwy, Suite 302, Chattanooga, TN 37402-2185 | 2005-09-09 |
| 1316580509 | Mark Duane Ellis | Licensed Practical Nurse | 2600 Se Belmont St, Portland, OR 97214-2916 | 2019-10-21 |
| 1629427752 | Mark Andrew Ellis | Otolaryngology | 169 Ashley Ave, Room 202 Main Hospital, Msc 333, Charleston, SC 29425-9080 | 2016-06-09 |
| Street Address |
1418 FILLMORE ST |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-3380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013122563 | Lds Family Services | Clinic/Center | 1418 Fillmore St, Twin Falls, ID 83301-3380 | 2007-05-10 |
| 1609310911 | Daniel Zea | Student in an Organized Health Care Education/Training Program | 1418 Fillmore St, Twin Falls, ID 83301-3380 | 2016-12-06 |
| 1891117750 | Maria Bushman | Student in an Organized Health Care Education/Training Program | 1418 Fillmore St, Twin Falls, ID 83301-3380 | 2014-01-13 |
| 1750667747 | Deanne Ford | Social Worker | 1418 Fillmore St, Twin Falls, ID 83301-3380 | 2011-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| 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 |
|---|---|---|---|---|
| 1275093858 | A Chance 4 Change | Social Worker | 459 Locust St N Ste 108, Twin Falls, ID 83301-7324 | 2019-03-21 |
| 1508336900 | Stefani Lynne Campa-macfee | Social Worker | 746 N College Rd Ste D, Twin Falls, ID 83301-3486 | 2018-11-28 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1023528791 | Amanda Breaux Gray | Social Worker | 1940 Laura Cir, Twin Falls, ID 83301-7009 | 2017-10-06 |
| 1467815001 | Scott Rasmussen | Social Worker | 442 Sagebrush Dr, Twin Falls, ID 83301-7554 | 2016-03-31 |
| 1801273271 | Healing Hoofbeats, LLC | Social Worker | 1173 Hankins Rd N, Twin Falls, ID 83301-8185 | 2015-05-05 |
| 1114312303 | Jamie M Kelley-kinyon | Social Worker | 775 Pole Line Rd, Suite 302, Twin Falls, ID 83301 | 2015-04-03 |
| 1114315389 | Donna Laura Graybill | Social Worker | 1092 Eastlland Dr., Twin Falls, ID 83301 | 2014-12-22 |
| 1861897977 | Darcie Deleon | Social Worker | 2583 E 3700 N, Twin Falls, ID 83301-0144 | 2014-10-31 |
| 1639595911 | Stefanie Gilbert | Social Worker | 2584 9th Ave E, Twin Falls, ID 83301-8204 | 2014-03-11 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on MR. MARK DALTON 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.