Jane Ellis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3145 Issued in TN

Practice address

7345 Courage Way Ste 101
Chattanooga, TN 37421-1555

Phone

(423) 602-9797

Fax

(423) 602-9796

NPI assigned

May 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scenic City Alliance of Psychiatry and Psychotherapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chattanooga, TN
  • NPI 1144788753
  NPD (past)
• Synergy Counseling Services LLC

  • Professional Counselor
  • Summerville, SC
  • NPI 1801838552
  NPD (past)

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1073135257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 COURAGE WAY STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211555",
            "telephone_number": "423-602-9797",
            "fax_number": "423-602-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 COURAGE WAY STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211555",
            "telephone_number": "423-602-9797",
            "fax_number": "423-602-9796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4615 Brainerd Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374113826",
            "country_code": "US",
            "telephone_number": "423-954-7917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "3145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amberly Brooke Ellis, NP
• Ashley Ellis, PHARMD
• Crissy N Ellis, MSN, CNM, CLC
• Doratha Ellis
• Eric R Ellis, M.D.
• Jessica Ellis
• Kaitlyn Bayli Ellis
• Mark Alan Ellis, D.M.D.
• Mark Andrew Ellis, M.D.
• Patrick Neil Ellis, PHARM.D.

• Clinical Social Worker in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.