Taylor Lynn Ellis, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33008949A Issued in IN

Practice address

1212 Westfield Road
Noblesville, IN 46062

NPI assigned

Apr 25, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pathways to Healing Counseling, LLC

  • Marriage & Family Therapist
  • Noblesville, IN
  • NPI 1881064756
  NPD (past)

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587772800000",
    "number": "1093335457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 BUNGALOW CT APT SUITE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203115",
            "telephone_number": "317-340-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 WESTFIELD ROAD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "46062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1057 E. 54th St.",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46220",
            "country_code": "US",
            "telephone_number": "317-316-3077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "TAYLOR",
        "middle_name": "LYNN",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-25",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33008949A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dechez Almont Edmonds, DC
• Lauren Marie Edwards, LCSW
• Virginia Allen Edwards, LMHC
• Elite Infusion
• Tami J Ellis, D.T.
• Olivia Ellson
• Jonathan Paul Emery
• Emgi - Riverview, LLC
• Empower Counseling Services LLC
• Terry Ann Engel, AU.D

• Social Worker in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2020; 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.