Janet Lynn Ellis, M.S.W., L.C.S.W., PI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2237C Issued in AL

Practice address

4300 W Main St Ste 300
Dothan, AL 36305-1313

Phone

(334) 446-0076

Fax

(334) 446-0203

NPI assigned

Sep 23, 2010

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1225346265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-670-6726",
            "fax_number": "334-670-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST STE 300",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051313",
            "telephone_number": "334-446-0076",
            "fax_number": "334-446-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JANET",
        "middle_name": "LYNN",
        "credential": "M.S.W., L.C.S.W., PI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2237C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Troy Elkington, M.D.
• Lynette M Elkins, CRNP
• Barbara Denise Ellenburg, PT
• Jeffrey M Elliott, MD
• Elizabeth A. Ellis, DNP, FNP-C
• Jeannette K. Ellis, REGISTERED NURSE
• Melanie Jo Ellison, NP
• Emblom & Vaughn, D.M.D., PC
• Robert G Emblom, DMD
• Emily Bell, LLC

• Clinical Social Worker in Dothan, AL
• Providers in Dothan, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.