MS. MAUREEN ELLIS (NPI# 1962746859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962746859 |
| Entity Type | Individual |
| Full Name | MS. MAUREEN ELLIS |
| Credential | LICSW, LCSW |
| Practice Address |
4151 Thomas Ave N Minneapolis MN 55412 |
| Mailing Address |
4151 Thomas Ave N Minneapolis MN 55412-1517 |
| Practice Telephone | 8182099885 |
| Mailing Telephone | 6123108683 |
| Mailing Fax Number | 6519250441 |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2018-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
26144 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912045386 | Maureen Ann Ellis | Social Worker | 12054 Depaul Hills Dr, Bridgeton, MO 63044-3511 | 2007-02-01 |
| 1902223936 | Maureen Ellis | Social Worker | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2014-03-27 |
| Street Address |
4151 THOMAS AVE N |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788619 | Abigail Diehl | Social Worker | 4151 Thomas Ave N, Minneapolis, MN 55412-1517 | 2020-04-08 |
| 1497389464 | April Kauffman | Counselor | 4151 Thomas Ave N, Minneapolis, MN 55412-1517 | 2020-02-27 |
| 1063958544 | Christine Riley | Counselor | 4151 Thomas Ave N, Minneapolis, MN 55412-1517 | 2017-01-09 |
| 1629522081 | Northside Center for Emotional Wellness LLC | Psychologist | 4151 Thomas Ave N, Minneapolis, MN 55412-1517 | 2016-08-15 |
| 1518332709 | Northside Center for Emotional Wellness LLC | Psychologist | 4151 Thomas Ave N, Minneapolis, MN 55412-1517 | 2015-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033778121 | Grace Group Home LLC | Home Delivered Meals | 3538 Fremont Ave N, Minneapolis, MN 55412 | 2019-06-11 |
| 1346708138 | Steven Keith Bell | Chiropractor | 3232 Fremont Ave. No, Suite 314, Mpls., MN 55412 | 2019-03-11 |
| 1962998997 | Steven Wolinski | Psychologist | 3830 Washburn Ave N, Minneapolis, MN 55412 | 2018-07-02 |
| 1235676438 | The Helping Hands Mn L.L.C. | Home Health | 860 Blue Gentain Rd, 200, Eagen, MN 55412 | 2017-01-25 |
| 1982070454 | Sylvia Majors | Driver | 3443 Colfax Ave North, Minneapolis, MN 55412 | 2015-08-19 |
| 1770832552 | Mastery School Inc. | Local Education Agency (LEA) | 4021 Thomas Ave N, Minneapolis, MN 55412 | 2012-09-07 |
| 1902171416 | David Anthony Wicklund | Massage Therapist | 2206 44th Ave N, Minneapolis, MN 55412 | 2012-03-16 |
| 1376739656 | Gloria Dean Scales Peterson | Social Worker | 3333 North 4th Street, Minneapolis, MN 55412 | 2007-09-19 |
| 1922173798 | Rodney Allen Lenz | Dentist | 4207 Aldrich Avenue North, Minneapolis, MN 55412 | 2006-11-21 |
| 1376911347 | Chelsea Elizabeth Dean Butay | Social Worker | 3300 Fremont Ave N, Minneapolis, MN 55412 | 2015-09-08 |
| Find all providers in zip 55412 | ||||
| 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 |
|---|---|---|---|---|
| 1811597784 | Nadia Sullivan | Social Worker | 250 S 4th St # 510, Minneapolis, MN 55415-1321 | 2020-10-29 |
| 1972102580 | Grace Christine Haugen | Social Worker | 3408 18th Ave S, Minneapolis, MN 55407-2779 | 2020-10-23 |
| 1629677422 | Tracy Flanagan Lewis | Social Worker | 410 E 48th St # 5, Minneapolis, MN 55419-5651 | 2020-10-22 |
| 1093312985 | Concord Psychotherapy Inc. | Social Worker | 4749 Chicago Ave Ste 1b, Minneapolis, MN 55407-4181 | 2020-10-05 |
| 1376167056 | Jennifer Hooyman | Social Worker | 3126 Cleveland St Ne, Minneapolis, MN 55418-2330 | 2020-05-29 |
| 1649893777 | Sarah Slathar | Social Worker | 2511 Grand St Ne # 2, Minneapolis, MN 55418-3318 | 2020-05-23 |
| 1811510332 | Madison Keel Peton | Social Worker | 825 Nicollet Mall Ste 455, Minneapolis, MN 55402-2606 | 2020-05-19 |
| 1538789474 | Mackenzie Landbloom | Social Worker | 825 S 8th St Ste 400, Minneapolis, MN 55404-1216 | 2020-04-21 |
| 1568090462 | Paul Samuel Schuster | Social Worker | 3249 Hennepin Ave Ste 258, Minneapolis, MN 55408-3993 | 2020-03-28 |
| 1053947077 | Natalie Jean Taber | Social Worker | 1645 Hennepin Ave Ste 221, Minneapolis, MN 55403-1701 | 2020-03-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55412 |
Please comment or provide details below to improve the information on MS. MAUREEN 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.