MRS. CYNTHIA GRAHAM ELLIS (NPI# 1760415517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760415517 |
| Entity Type | Individual |
| Full Name | MRS. CYNTHIA GRAHAM ELLIS |
| Credential | MSW, LCSW |
| Practice Address |
3311 Burnt Mill Dr Wilmington NC 28403-2654 |
| Mailing Address |
4609 Tall Tree Ln Wilmington NC 28409-3301 |
| Practice Telephone | 9102515817 |
| Practice Fax Number | 9102512652 |
| Mailing Telephone | 9107998051 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C004286 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326116971 | Cynthia A Ellis | Physical Therapist | 1519 Taylor St, Columbia, SC 29201-2918 | 2006-12-01 |
| 1962479808 | Cynthia Lynn Ellis | Specialist/Technologist | 3505 Mccarrell Ln, Knoxville, TN 37920-4757 | 2006-02-28 |
| 1205364387 | Cynthia Ellis | Physical Therapy Assistant | 110 Fairfax Rd, Saint Albans, VT 05478-6299 | 2017-06-01 |
| 1093146482 | Cynthia Rose Ellis | Registered Nurse | 2250 Soquel Ave, Suite 150, Santa Cruz, CA 95062-1402 | 2013-12-10 |
| 1831439538 | Cynthia R Ellis | Registered Nurse | 621 Old Hickory Blvd Ste G, Jackson, TN 38305-2911 | 2013-02-18 |
| 1790009058 | Cynthia Marie Ellis | Social Worker | 1545 Atlantic Ave, 4th Floor Mica Unit, Brooklyn, NY 11213-1122 | 2010-03-16 |
| 1538347901 | Cynthia K Ellis | Pharmacist | 5 Bel Air South Pkwy, Suite 301, Bel Air, MD 21015-6091 | 2008-02-07 |
| 1821283086 | Cynthia Ellis | Social Worker | 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5674 | 2007-09-11 |
| 1831215144 | Cynthia G Ellis | Psychologist | 105 Medway Street, Providence, RI 02906 | 2007-03-21 |
| 1043381403 | Cynthia Eorio Ellis | Counselor | 1412 W Washington St, Boise, ID 83702-5038 | 2006-11-09 |
| Street Address |
3311 BURNT MILL DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053309989 | Roxanne S. Devane | Nurse Practitioner | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2005-10-13 |
| 1760924021 | Mary Mcghan | Registered Nurse | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2016-11-17 |
| 1952762098 | Michelle Willis | Occupational Therapist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2016-03-17 |
| 1306186218 | Julie Kuetemeyer | Audiologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2013-03-01 |
| 1538335526 | Sarah Puwalowski | Psychologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2008-04-30 |
| 1710106034 | Carrie Rowley | Audiologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2007-04-25 |
| 1063637411 | State of Nc Division of Health Services | Clinic/Center | 3311 Burnt Mill Dr, Suite 100, Wilmington, NC 28403-2654 | 2007-04-13 |
| 1811013899 | Sarah Rebecca Verrone | Speech-Language Pathologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2007-03-22 |
| 1225153158 | Walter John Krug | Psychologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2007-03-20 |
| 1033258793 | Gail Marcus | Genetic Counselor, MS | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| 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 |
|---|---|---|---|---|
| 1821602608 | Bhs Counseling, Pllc | Social Worker | 446 Motts Creek Rd, Wilmington, NC 28412-7854 | 2020-08-31 |
| 1659985406 | Kelsey Metz | Social Worker | 2023 S 17th St Unit 1a, Wilmington, NC 28401-6600 | 2020-08-31 |
| 1265044424 | Katelyn Elizabeth Currie | Social Worker | 3401 Wilshire Blvd Apt 103, Wilmington, NC 28403-4261 | 2020-08-19 |
| 1114539467 | Personal Insight Therapy, LLC | Social Worker | 226 Lowell St Ste B7, Wilmington, MA 01887-3073 | 2020-08-18 |
| 1336751726 | Ikia Williams | Social Worker | 4415 Junction Park Dr, Wilmington, NC 28412-2263 | 2020-08-18 |
| 1356961627 | Jacqueline Sabella | Social Worker | 1608 Queen St, Wilmington, NC 28401-5527 | 2020-04-16 |
| 1649808528 | Jessie Therese Redden | Social Worker | 5235 W Woodmill Dr Ste 47, Wilmington, DE 19808-4068 | 2020-03-27 |
| 1659907830 | Danielle M Lopez | Social Worker | 2700 Silverside Rd Ste 4, Wilmington, DE 19810-3724 | 2020-03-19 |
| 1942836267 | Christiana Care Health Initiatives | Social Worker | 4000 Nexus Dr Rm Nwg -250, Wilmington, DE 19803-3000 | 2020-03-18 |
| 1952936049 | Taylor Danielle Quick-smith | Social Worker | 1002 Talcon Dr, Wilmington, DE 19804-1200 | 2020-03-09 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on MRS. CYNTHIA GRAHAM 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.