Timothy Ellis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1284 Issued in KY

Practice address

3651 Shepherdsville Rd
Elizabethtown, KY 42701-9511

Phone

(270) 378-0230

NPI assigned

May 16, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lake Cumberland Regional Mental Health Mental Retardation Board, Inc.

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1336172642
  NPD (past)
• Lake Cumberland Regional MHMR Board Outpatient

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1992831713
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1811949142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 SHEPHERDSVILLE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019511",
            "telephone_number": "270-378-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 SHEPHERDSVILLE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019511",
            "telephone_number": "270-378-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "TIMOTHY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Elliott, PBS
• Ellis Professional Counseling Services, LLC
• Alice A Ellis, LPCC
• Earl Edward Ellis, M.ED., LPA
• Nicole Renee Ellis, LPCC-S, NCC
• Stephanie Elmore
• Athena V Emerine, SLP
• Encompass Health Rehabilitation Hospital of Lakeview, LLC
• Encouraging Hearts Counseling
• Endeavors Baraka

• Clinical Social Worker in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Clinical Social Worker in Kentucky

• 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.