IndividualActive
Susan Ellwanger, LCSW
NPI 1134098163 · Clinical Social Worker · Lott, TX
Provider details
- NPI number
- 1134098163
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 67470 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
401 E Falls Rd
Lott, TX 76656-4056
Phone: (254) 598-8001
Approximate (ZIP-level) locationGet directions
Mailing address
401 E Falls Rd
Lott, TX 76656-4056
Registry dates
- Enumerated
- 2025-10-29
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.