Katharine Ellis, LCSW-C

Primary specialty

Social WorkerTaxonomy code 104100000X

License

23825 Issued in MD

Practice address

7300 Calhoun PL Ste 600
Rockville, MD 20855-3701

Phone

(202) 913-4036

NPI assigned

Dec 18, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Willow Oak Therapy Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville, MD
  • NPI 1386620581
  NPD
• Jody Tabner Thayer LLC

  • Clinical Social Worker
  • Bethesda, MD
  • NPI 1871064535
  NPD (past)

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1992343131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 CALHOUN PL STE 600",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208553701",
            "telephone_number": "301-466-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 CALHOUN PL STE 600",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208553701",
            "telephone_number": "202-913-4036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15701 Crabbs Branch Way",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208552634",
            "country_code": "US",
            "telephone_number": "301-251-8965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KATHARINE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "23825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Alan Ellis
• Claudea Ellis
• Jasmine Ellis
• Jordyn Ellis
• Julie Ellis, OTR/L
• Katherine Pace Ellis, CRNP
• Nya Ellis
• Paris Ellis
• Tiffany Ellis
• Tiffany Ellis

• Social Worker in Rockville, MD
• Providers in Rockville, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.