Karen Lori Ellard, LICSW
Individual provider Active NPI Clinical Social Worker · Cottondale, AL
NPI 1194332809 · NPPES record last updated Sep 26, 2020
Key facts
- NPI
- 1194332809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1149C (AL)
- Practice address
- 11440 Hagler Coaling Rd
Cottondale, AL 35453-2726 - Phone
- (205) 292-1658
- NPI assigned
- Sep 26, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1149C | AL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1149C | AL | Yes |
Addresses
Primary practice location
11440 Hagler Coaling Rd
Cottondale, AL 35453-2726
Mailing address
PO Box 750
Coaling, AL 35449-0750
Phone (205) 292-6446
Other providers in Cottondale, AL
- Christina N Bates
- Complete Nursing Service
- Aniyah Crawford
- Laura Rebekah Findley
- Kylie Rae Green
- Hannah Leigh Hoggle
- Marguerite Deborah Malone
- Marguerite D. Malone
All providers in Cottondale, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.