Kiara Monae Ellis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

18225 52ND Ave W Apt E301
Lynnwood, WA 98037-4684

Phone

(206) 730-8695

NPI assigned

Oct 3, 2023

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": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1376323683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18225 52ND AVE W APT E301",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374684",
            "telephone_number": "206-730-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18225 52ND AVE W APT E301",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374684",
            "telephone_number": "206-730-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KIARA",
        "middle_name": "MONAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oliver Thomas Elliot
• Andrew Elliott, MD
• Hannah Elliott
• Elizabeth Ellis, OTR/L
• Karyn L Ellis, LMCA, MHP
• Sandra Sue Ellis, LMHCA
• Megan Marie Ellison, MS, RD, CDE
• Noha Elsheteehy
• Ryan Christopher Elvidge, MT
• Wesley Ryan Elzea

• Clinical Social Worker in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.