Anthony M Ellis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6200 Issued in LA

Practice address

15274 Mary Elizabeth Dr
Baton Rouge, LA 70816-9045

Phone

(225) 938-1123

NPI assigned

Dec 16, 2024

Sex

Male

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

Enrolled in LA

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 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Family Service of Greater Baton Rouge

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1891878435
  Medicare reassignment NPD

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1760299481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15274 MARY ELIZABETH DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708169045",
            "telephone_number": "225-938-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15274 MARY ELIZABETH DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708169045",
            "telephone_number": "225-938-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "6200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian C Elliott, DDS
• Leone Elliott, MD
• Sophie Claire Elliott, PA-S
• Pavani Ellipeddi, M.D.
• Alencia C Ellis, P.A.
• Aubrey Ellis
• Emily Joanna Ellis
• Lauren Ellis, M.S. CCC-SLP
• Patricia Ellis
• Selena Ellis, LMFT

• Clinical Social Worker in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.