Dawn A Ellis-Murray, LICSW-PIP, S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4249C Issued in AL

Practice address

522 Legends Dr
Montgomery, AL 36116-6586

Phone

(334) 313-2767

NPI assigned

Oct 16, 2019

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Innovative Enterprises, LLC

  • Clinical Social Worker
  • Pike Road, AL
  • NPI 1891583035
  NPD Authorized official

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707609600000",
    "number": "1356983803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230354",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361230354",
            "telephone_number": "334-313-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 LEGENDS DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361166586",
            "telephone_number": "334-313-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS-MURRAY",
        "first_name": "DAWN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LICSW-PIP, S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2024-02-11",
        "certification_date": "2024-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4249C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Elliott, FNP-C
• Jessica Nelson Elliott, DO, PHD
• Leah Shepherd Elliott, LMFT
• Lisa Christian Elliott, LPC-S, NCC, RPT-S
• Tiffany Camilla Elliott, LMFT
• Adrienne Elyse Ellis, PTA
• Charles Michael Ellis, P.T., ATC
• Elizabeth Alison Knight Ellis, NP
• Kelsey Ellis, PHARMD
• Tammi Ellis, M.ED

• Clinical Social Worker in Montgomery, AL
• Providers in Montgomery, 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 Feb 11, 2024; 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.