Individual provider Active NPI

Denise Ellis, LCSW

  • Clinical Social Worker
  • Lancaster, TX
National Provider Identifier
1801775044
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104673 Issued in TX
Practice address
525 W Pleasant Run Rd Ste 100
Lancaster, TX 75146-1576
Phone
(682) 441-4147
NPI assigned
Sep 1, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 104673 TX Primary
Clinical Social Worker 1041C0700X 34066 MD

Addresses

Primary practice location

525 W Pleasant Run Rd Ste 100
Lancaster, TX 75146-1576

Mailing address

525 W Pleasant Run Rd Ste 100
Lancaster, TX 75146-1576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20250926002177 TX Practitioner - Clinical Social Worker 1456856764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 W Pleasant Run Rd
Suite 100
Lancaster, TX 75146-1576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34066MDMDClinical Social Worker
104673TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Solura Wellness Group PLLC Clinical CurrentSince Sep 12, 2025 Accepting new patients

Locations

525 W Pleasant Run Rd
Ste 100
Lancaster, TX 75146
Phone (682) 441-4147

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1801775044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W PLEASANT RUN RD STE 100",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W PLEASANT RUN RD STE 100",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461576",
            "telephone_number": "682-441-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104673",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "34066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

Verify at the official NPI Registry.