Ellen Stewart Ayres, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW22273 Issued in CA

Practice address

2820 Adeline St
Berkeley, CA 94703-2264

Phone

(510) 496-2703

NPI assigned

Feb 29, 2008

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1811166234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032264",
            "telephone_number": "510-496-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032264",
            "telephone_number": "510-496-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRES",
        "first_name": "ELLEN",
        "middle_name": "STEWART",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW22273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana G Aviles, ASW
• Andrew Aviles
• Isbaella Aviles
• Eric Avirett
• Jose Rolando Ayala
• Pouneh Azadi
• Sadaf Azizi
• Emily Alexia Azmitia
• Victoria Baca
• Carolina Bacchi, PSY.D.

• Clinical Social Worker in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.