IndividualActive
Ebony Ellis
NPI 1053447714 · Clinical Social Worker · Oakland, CA
Ebony Ellis is a Clinical Social Worker provider in Oakland, CA (NPI 1053447714).
Provider details
- NPI number
- 1053447714
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2607 Myrtle St
Oakland, CA 94607-3415
Phone: (510) 835-1393
Fax: (510) 835-1393
Street-level locationGet directions
Mailing address
747 52nd St
Oakland, CA 94609-1809
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2020-10-07
- Certified
- 2020-10-07
Frequently asked questions
- What is Ebony Ellis's NPI number?
- Ebony Ellis's National Provider Identifier (NPI) is 1053447714, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebony Ellis's specialty?
- Ebony Ellis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ebony Ellis located?
- Ebony Ellis's practice location on file with NPPES is 2607 Myrtle St, Oakland, CA 94607-3415.
- What is Ebony Ellis's phone number?
- The practice phone number listed in the NPPES registry for Ebony Ellis is (510) 835-1393.
- Is Ebony Ellis's NPI active?
- Yes — Ebony Ellis's NPI (1053447714) is active in the NPPES registry as of the last update on 2020-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.