Keana Marie Ellis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

8427 Dorsey Cir Ste 101
Manassas, VA 20110-4596

Phone

(855) 750-5861

NPI assigned

Jul 29, 2025

Last updated

Aug 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1841173770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8427 DORSEY CIR STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104596",
            "telephone_number": "703-637-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8427 DORSEY CIR STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104596",
            "telephone_number": "855-750-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KEANA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002106749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adetunji Davis Eletu
• Hadeel Elhaj
• Elite Medical Center LLC
• Sophie Louise Elliot, SPEECH-LANGUAGE PATH
• Dorie Christine Ellis, CRNA
• Stacey Ellis
• Rash N Elsaftawy, RPH
• Reem Elsaftawy
• Jagadish Venkat Raga Elumalai, M.D
• Embracing Harmony PLLC

• Clinical Social Worker in Manassas, VA
• Providers in Manassas, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.