Individual provider Active NPI

Ethel Ellis, CSW

  • Social Worker
  • Florence, KY
National Provider Identifier
1154255131
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CSW00001070 Issued in KY
Practice address
7426 US Highway 42 Ste 106
Florence, KY 41042-2056
Phone
(859) 282-0119
Fax
(859) 282-8018
NPI assigned
Jun 12, 2026
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CSW00001070 KY Primary

Addresses

Primary practice location

7426 US Highway 42 Ste 106
Florence, KY 41042-2056

Mailing address

112 Eastern Ave
Elsmere, KY 41018-1920
Phone (859) 282-0119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW00001070KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Diagnostic Center, LLC Social Worker CurrentSince Sep 12, 2020 Accepting new patients

Locations

7426 US Highway 42
Ste 106
Florence, KY 41042
Phone (859) 282-0118

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1154255131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 EASTERN AVE",
            "city": "ELSMERE",
            "state": "KY",
            "postal_code": "410181920",
            "telephone_number": "859-282-0119",
            "fax_number": "859-282-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7426 US HIGHWAY 42 STE 106",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422056",
            "telephone_number": "859-282-0119",
            "fax_number": "859-282-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ETHEL",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "CSW00001070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.