Emmaly Ellis, LCSW, MSW
Individual provider Active NPI Clinical Social Worker · Nevada, MO
NPI 1801508155 · NPPES record last updated Aug 17, 2026
Key facts
- NPI
- 1801508155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2024048942 (MO)
- Practice address
- 1819 W Austin
Nevada, MO 64772-2202 - Phone
- (417) 448-7481
- NPI assigned
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241230001311 | MO | Practitioner - Clinical Social Worker | 0446787600 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024048942 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dandelion Skies LLC | Clinical | Current | Accepting new patients |
| Compass Health, Inc | Current |
Accepting new patients | |
| Compass Health, Inc | Clinical | Current |
Accepting new patients |
Locations
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
107 W Broadway St
El Dorado Springs, MO 64744
Phone (417) 876-5314
320 Mac Blvd
Nevada, MO 64772
Phone (417) 667-2262
300 W Cherry St
Nevada, MO 64772
Phone (417) 448-9437
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2024048942 | MO | Yes |
Addresses
Primary practice location
1819 W Austin
Nevada, MO 64772-2202
Mailing address
PO Box 91
Nevada, MO 64772-0091
Phone (417) 448-7481
Other providers in Nevada, MO
- Dr. Scott Compton D.O.
- Sherri Eador
- Jennifer Eaton
- Samantha Michelle Ehresman
- Alisha Eldridge
- Employment Supports Inc.
- Ep Evans Drug, Inc
- Katelyn Erwin
- Evans Drugs Nevada LLC
- Kevin Joseph Ewing
All providers in Nevada, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.