BETTY ELLIS (NPI# 1811940638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811940638 |
| Entity Type | Individual |
| Full Name | BETTY ELLIS |
| Credential | LCSW |
| Practice Address |
91 Bay Bridge Dr Gulf Breeze FL 32561-4468 |
| Practice Telephone | 8502910340 |
| Practice Fax Number | 8509169547 |
| Mailing Telephone | 8502910340 |
| Mailing Fax Number | 8509169547 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2011-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW5647 | FL | Behavioral Health & Social Service Providers |
| Street Address |
91 BAY BRIDGE DR |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32561-4468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114477338 | Firstlight Home Care | Home Health | 91 Bay Bridge Dr, Gulf Breeze, FL 32561-4468 | 2016-10-12 |
| 1003369190 | David Lance Henderson | Adult Companion | 91 Bay Bridge Dr, Gulf Breeze, FL 32561-4468 | 2016-07-26 |
| 1114158227 | Joshua Anthony Lutz | Psychologist | 91 Bay Bridge Dr, Suite D, Gulf Breeze, FL 32561-4468 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416815 | Susan Carol Bane | Physical Therapist | 1500 Via Deluna, D6, Pensacola Beach, FL 32561 | 2020-01-17 |
| 1174027478 | Aegis Group Practice LLC | Occupational Therapist | 50 Joachim Drive, Gulf Breeze, FL 32561 | 2018-03-21 |
| 1497296081 | Gulf Coast Health System Imaging, LLC | Clinic/Center | 4033 Gulf Breeze Parkway, Gulf Breeze, FL 32561 | 2017-03-15 |
| 1265836233 | Karen Tarvid | Radiologic Technologist | 1390 Fort Pickens Road, 212, Gulf Breeze, FL 32561 | 2014-10-20 |
| 1063825990 | Thomas Ryan Mcpherson | Dentist | 41 Fairpoint Dr Ste A, Gulf Breeze, FL 32561 | 2014-06-09 |
| 1316210974 | White Edward Gibson IIi | Internal Medicine | 408 N. Sunset Blvd., Gulf Breeze, FL 32561 | 2012-02-13 |
| 1467742866 | Katherine Seipel Crawford | Pediatrics | 15 Daniel Dr, Gulf Breeze, FL 32561 | 2011-04-19 |
| 1497067987 | Total Spinal Solutions LLC | Clinic/Center | 1300 Shoreline Drive, Ste. 104, Gulf Breeze, FL 32561 | 2010-07-13 |
| 1528184322 | Bonnie Dansby | Nurse Practitioner | 1600 Via Deluna Drive, E403, Pensacola Beach, FL 32561 | 2007-03-22 |
| 1891841425 | Darby Lynn Godwin | Psychologist | 7 Center Road, Gulf Breeze, FL 32561 | 2007-01-26 |
| Find all providers in zip 32561 | ||||
| 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 |
|---|---|---|---|---|
| 1629679303 | Kamarie Lee Larson | Social Worker | 913 Gulf Breeze Pkwy Ste 26b, Gulf Breeze, FL 32561-4731 | 2020-11-08 |
| 1750998910 | Nicole Bero | Social Worker | 1353 Tiger Lake Dr, Gulf Breeze, FL 32563-5726 | 2020-09-30 |
| 1942833215 | Ruth Valeria Trigonis-quesada | Social Worker | 69 Bay Bridge Dr Ste H, Gulf Breeze, FL 32561-4468 | 2020-02-14 |
| 1881187953 | Aletha Deandra Chamberlin | Social Worker | 1567 Fuller Dr, Gulf Breeze, FL 32563-9763 | 2018-06-12 |
| 1831560481 | Elizabeth Rogers | Social Worker | 6443 Heronrun Way, Gulf Breeze, FL 32563-7050 | 2015-10-08 |
| 1851784227 | Debra Ann Steffers | Social Worker | 215 Oviedo St, Gulf Breeze, FL 32561-4029 | 2015-03-10 |
| 1770898033 | Diane C Haskill | Social Worker | 5112 Mandavilla Blvd, Gulf Breeze, FL 32563-8934 | 2010-08-11 |
| 1679734297 | Christina Marie Arner | Social Worker | 4805 Kitty Hawk Cir, Gulf Breeze, FL 32563-9296 | 2008-06-17 |
| 1376761981 | Patricia Dianne Babcock | Social Worker | 293 Plantation Hill Rd, Gulf Breeze, FL 32561-4861 | 2007-04-22 |
| 1033672621 | Stephanie Slorahn Peterson | Social Worker | 69 Bay Bridge Dr Ste G, Gulf Breeze, FL 32561-4468 | 2019-04-10 |
| Find all providers in GULF BREEZE | ||||
| City | GULF BREEZE |
| Zip Code | 32561 |
Please comment or provide details below to improve the information on BETTY 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.