Elenor Johnson-Ellis, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1627123 Issued in WI

Practice address

9201 Watertown Plank Road
Behavioral Health Division Sail
Milwaukee, WI 53225-3558

Phone

(414) 257-7405

Fax

(414) 454-4242

NPI assigned

Jun 16, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1033379748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 WATERTOWN PLANK ROAD",
            "address_2": "BEHAVIORAL HEALTH DIVISION SAIL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253558",
            "telephone_number": "414-257-7405",
            "fax_number": "414-454-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 WATERTOWN PLANK ROAD",
            "address_2": "BEHAVIORAL HEALTH DIVISION SAIL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253558",
            "telephone_number": "414-257-7405",
            "fax_number": "414-454-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-ELLIS",
        "first_name": "ELENOR",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1627123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10062926",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Johnroe, PA-C
• Laura Danielle Johns, MD
• Johnson Love Johnson House of Prosperity, LLC
• Yvette Johnson Towers, RN
• Doris S Johnson-Browne, PH.D.
• Akeira Lashelle Johnson, M.D.
• Alex Johnson, MD
• Alexander Kenneth Johnson, MD
• Alexis Princella Johnson
• Allison J Johnson, NP

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.