Individual provider Active NPI

Brittney Ellis, LCSW

  • Clinical Social Worker
  • Fresno, TX
National Provider Identifier
1770154668
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64203 Issued in TX
Practice address
3311 Village Pond LN
Fresno, TX 77545-8783
Phone
(253) 347-6949
NPI assigned
Jul 2, 2021
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904019134 VA
Clinical Social Worker 1041C0700X 33837 MD
Clinical Social Worker 1041C0700X 64203 TX Primary
Clinical Social Worker 1041C0700X SW24955 FL

Addresses

Primary practice location

3311 Village Pond LN
Fresno, TX 77545-8783

Mailing address

3311 Village Pond LN
Fresno, TX 77545-8783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW24955FLMDClinical Social Worker
33837MDMDClinical Social Worker
0904019134VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Charm Behavioral Health Services Inc Clinical CurrentSince Jun 1, 2022 Accepting new patients
St Health TX, P.a. Past Accepting new patients

Locations

450 Century Pkwy
Ste 250288
Allen, TX 75013
Phone (972) 516-4320

Interoperability endpoints

  • Direct secure messaging: brittney.ellis.1@30520.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1770154668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 VILLAGE POND LN",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 VILLAGE POND LN",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458783",
            "telephone_number": "253-347-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "BRITTNEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019134",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "33837",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64203",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.