Individual provider Active NPI

Christine L. Ellis

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1477846186
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2014 Capitol Ave Ste 100
Sacramento, CA 95811-4244
Phone
(530) 776-0552
NPI assigned
May 27, 2011
Reactivated
Sep 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2014 Capitol Ave Ste 100
Sacramento, CA 95811-4244

Mailing address

2014 Capitol Ave Ste 100
Sacramento, CA 95811-4244
Phone (530) 776-0552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA, FL, DC, MO5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20200423002432 CO Practitioner - Clinical Social Worker 8224468780 Reassigns benefits to 1 organization
I20211207000824 CA Practitioner - Clinical Social Worker 8224468780 Reassigns benefits to 2 organizations
I20231227001178 FL Practitioner - Clinical Social Worker 8224468780 Reassigns benefits to 1 organization
I20240528002229 DC Practitioner - Clinical Social Worker 8224468780 Reassigns benefits to 1 organization
I20241010000634 MO Practitioner - Clinical Social Worker 8224468780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmind Online Ca Licensed Clinical Social Worker Prof Corp Clinical CurrentSince Nov 12, 2021 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Dec 1, 2023 Accepting new patients

Locations

888 Prospect St
La Jolla, CA 92037
Phone (619) 804-0609

2100 Geng Rd
Ste 210
Palo Alto, CA 94303
Phone (650) 383-0279

980 9th St
Sacramento, CA 95814

95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

2450 Colorado Ave
Santa Monica, CA 90404

3558 Round Barn Blvd
Santa Rosa, CA 95403
Phone (707) 571-3754

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1477846186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 CAPITOL AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958114244",
            "telephone_number": "530-776-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 CAPITOL AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958114244",
            "telephone_number": "530-776-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CHRISTINE",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "deactivation_date": "2019-06-11",
        "reactivation_date": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.