Laura J Ellis, MSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3810 Winchester Rd
Southeast Mental Health Center
Memphis, TN 38118-6045

Phone

(901) 369-1420

Fax

(901) 369-1433

NPI assigned

Mar 17, 2008

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

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1205007358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 YANKEE RD",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380175777",
            "telephone_number": "901-853-4223",
            "fax_number": "901-369-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 WINCHESTER RD",
            "address_2": "SOUTHEAST MENTAL HEALTH CENTER",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186045",
            "telephone_number": "901-369-1420",
            "fax_number": "901-369-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LAURA",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daria F Ellis
• Donna Lynn Ellis, DOCTOR OF PHARMACY
• Garrettson S Ellis, M.D.
• James V Ellis, MD
• Joesph Ellis, PHARM D
• Rita V Ellis, LCSW
• Robert Ellis Jr., PA-C
• David William Ellison, MD
• Robert Ellison
• Vinkrya Ellison

• Clinical Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.