Ellen Sibley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW25718 Issued in FL

Practice address

728 Fentress Blvd
Daytona Beach, FL 32114-1214

Phone

(386) 272-7440

Fax

(386) 204-0948

NPI assigned

Jul 13, 2024

Last updated

May 15, 2026By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

Locations

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

• Nearvana LLC

  dba Be Kind To Mind Counseling

  • Mental Health Counselor
  • Daytona Beach, FL
  • NPI 1588594014
  NPD Authorized official

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1649017815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 FENTRESS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141214",
            "telephone_number": "386-272-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 FENTRESS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141214",
            "telephone_number": "386-272-7440",
            "fax_number": "386-204-0948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W Indiana Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327204314",
            "country_code": "US",
            "telephone_number": "386-262-7440",
            "fax_number": "386-204-0948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIBLEY",
        "first_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-13",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadassah Rose Shores
• Kushagra Shrinath, MD
• Apurwa Shukla
• Erin Leigh Shumans
• Erin Siatkowski, ARNP
• Umar Khalid Siddiqui, DO
• Steven Sidelsky, MD
• Sidney Possick M.D.,P.a.
• Brent David Sieger, MD
• Abigail Siegfried

• Clinical Social Worker in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.