Kerry Ellis, LCSW-C
NPI 1134631757 · Clinical Social Worker · Millersville, MD
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kerry Ellis, LCSW-C is a Clinical Social Worker provider in Millersville, MD (NPI 1134631757).
Provider details
- NPI number
- 1134631757
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20829 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2017-11-05
- Last updated
- 2017-11-05
Frequently asked questions
- What is Kerry Ellis's NPI number?
- Kerry Ellis's National Provider Identifier (NPI) is 1134631757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kerry Ellis's specialty?
- Kerry Ellis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kerry Ellis located?
- Kerry Ellis's practice location on file with NPPES is 1111 Benfield Blvd Ste 104, Millersville, MD 21108-3003.
- What is Kerry Ellis's phone number?
- The practice phone number listed in the NPPES registry for Kerry Ellis is (410) 714-2626.
- Does Kerry Ellis accept Medicare?
- Kerry Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kerry Ellis's NPI active?
- Yes — Kerry Ellis's NPI (1134631757) is active in the NPPES registry as of the last update on 2017-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.