Sierra Ellison

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801105100 Issued in MI

Practice address

3274 Briggs Blvd NE
Grand Rapids, MI 49525-2502

Phone

(616) 929-0324

NPI assigned

Apr 18, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1356795215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3274 BRIGGS BLVD NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252502",
            "telephone_number": "616-929-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3274 BRIGGS BLVD NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252502",
            "telephone_number": "616-929-0324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2647 Hawthorne Way",
            "address_purpose": "LOCATION",
            "city": "Saline",
            "state": "MI",
            "postal_code": "481761666",
            "country_code": "US",
            "telephone_number": "734-686-0571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "SIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801105100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Catherine Ellis, FNP
• Amanda Ellison, LMSW
• Averi Ellison
• Cherie Ellison, LMSW
• Elle K Ellison
• Steven Ellison
• Matthew Liceralde Elloso, M.D.
• Brandon D Ellsworth, MD
• Kathryn Ellsworth, M.A., CCC-SLP
• Laura Elluru

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.