Charles Ellis, LCSW-C
NPI 1215017009 · Clinical Social Worker · Riverside, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles Ellis, LCSW-C is a Clinical Social Worker provider in Riverside, CA (NPI 1215017009).
Provider details
- NPI number
- 1215017009
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW-C
- Sex
- Male
- Sole proprietor
- No
- License
- 5980-C (NV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 1501 Division StBaltimore, MD 21217-3121Phone: (410) 383-8300Fax: (410) 383-3160
- 2725 S Jones Blvd Ste 101Las Vegas, NV 89146-5605Phone: (725) 214-1378Fax: (702) 384-2239
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2024-10-09
- Certified
- 2024-09-20
Frequently asked questions
- What is Charles Ellis's NPI number?
- Charles Ellis's National Provider Identifier (NPI) is 1215017009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Ellis's specialty?
- Charles Ellis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Charles Ellis located?
- Charles Ellis's practice location on file with NPPES is 4164 Brockton Ave, Riverside, CA 92501-3400.
- What is Charles Ellis's phone number?
- The practice phone number listed in the NPPES registry for Charles Ellis is (951) 683-5193.
- Does Charles Ellis accept Medicare?
- Charles Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charles Ellis's NPI active?
- Yes — Charles Ellis's NPI (1215017009) is active in the NPPES registry as of the last update on 2024-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.