Kathryn Gail Ellis, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000180 Issued in MO

Practice address

3701 S Lindbergh Blvd Ste 205
Saint Louis, MO 63127-1372

Phone

(314) 965-1942

Fax

(314) 835-1580

NPI assigned

Jan 2, 2007

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

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245397256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S LINDBERGH BLVD STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271372",
            "telephone_number": "314-965-1942",
            "fax_number": "314-835-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S LINDBERGH BLVD STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271372",
            "telephone_number": "314-965-1942",
            "fax_number": "314-835-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KATHRYN",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol A Ellis, RN
• Christine M Ellis, FNP
• Denise Michele Ellis, P.T.
• Holly Ellis, DDS
• Jabon L Ellis, D.O.
• Katrece Levoy Ellis, CRNA
• Lisa Ellis
• Mattalue Ellis, M.A.
• Paula Maria Ellis, LPC
• Ramsey A Ellis, M.D.

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.