Trisha Ellis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC12055 Issued in ME

Practice address

222 Saint John St Ste 130
Portland, ME 04102-3055

Phone

(207) 651-3428

NPI assigned

Mar 2, 2007

Last updated

Dec 8, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Possibilities Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Auburn, ME
  • NPI 1235209750
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1700914462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 LAWRENCE ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924251",
            "telephone_number": "207-651-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SAINT JOHN ST STE 130",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023055",
            "telephone_number": "207-651-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "TRISHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432143199",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Elliott
• Catherine M Elliott, CRNA
• Quinn Elliott
• Kent A Ellis
• Lauren Brooke Ellis, MD
• Catherine C. Ellyson, LCPC
• Meredith Elman
• Mohamed Elsalhy, BDM, MSC, MPH, PHD
• Ahmed Elsayed, MBBCH
• Amanda Elwell

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.