Tenisha Harrell Ellis, MSW, ASW #76509

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

76509 Issued in CA

Practice address

1510 Fashion Island Blvd Ste 110
Foster City, CA 94404-5043

Phone

(650) 570-7273

Fax

(650) 570-4283

NPI assigned

Jul 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962924746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD.",
            "address_2": "SUITE 110",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "94404",
            "telephone_number": "650-570-7273",
            "fax_number": "650-570-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD STE 110",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944045043",
            "telephone_number": "650-570-7273",
            "fax_number": "650-570-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL ELLIS",
        "first_name": "TENISHA",
        "name_prefix": "Mrs.",
        "credential": "MSW, ASW #76509",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASW #",
            "identifier": "76509",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Meade Gray, M.ED., LMFT
• Zainab Hakim
• Philip Hampel
• Wanying Hao
• Paige Isabella Hardman
• Matthew David Hashimoto, DDS
• Dale Heer, D.C.
• Stephen R Henry, DDS
• Loryn Jennifer Hicks, MA, LMFT
• Tina Hooper, MPT

• Clinical Social Worker in Foster City, CA
• Providers in Foster City, 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 Jul 21, 2022; 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.