Active NPI
Ethel Ellis, CSW
- Social Worker
- Florence, KY
National Provider Identifier
1154255131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CSW00001070
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW00001070 | KY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Diagnostic Center, LLC | Social Worker | Current | 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.
-
dba Counseling & Diagnostic Centers
- Clinical Psychologist
- Florence, KY
- NPI 1679644967
Social Worker
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.