Haley Renee Ellis, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.2512038 Issued in OH

Practice address

915 S Riverside Dr NE
McConnelsville, OH 43756-9102

Phone

(740) 962-5204

Fax

(740) 962-3688

NPI assigned

Aug 27, 2024

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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1114751864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 BELL ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011720",
            "telephone_number": "740-454-9766",
            "fax_number": "740-588-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S RIVERSIDE DR NE",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437569102",
            "telephone_number": "740-962-5204",
            "fax_number": "740-962-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "HALEY",
        "middle_name": "RENEE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2512038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061571",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Marie Duncan
• Jacyntha Lanae Dutiel, BA, CT
• Brittney Eaglowski, MA, CCC-SLP
• Teya Eckert
• Betsy Ellingsworth, CDCA, RA
• Eye Care of McConnelsville LLC
• Tiffany Sue Farrell
• First Settlement Physical Therapy
• Charney K Fitz, MA, QMHS
• Jane Ellen Fluharty, R.N.

• Social Worker in McConnelsville, OH
• Providers in McConnelsville, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.