Amanda Ellis, LICSW
NPI 1245680925 · Clinical Social Worker · Roseville, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amanda Ellis, LICSW is a Clinical Social Worker provider in Roseville, MN (NPI 1245680925).
Provider details
- NPI number
- 1245680925
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25258 (MN)
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
10 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
- 2016-06-14
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is Amanda Ellis's NPI number?
- Amanda Ellis's National Provider Identifier (NPI) is 1245680925, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Ellis's specialty?
- Amanda Ellis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Amanda Ellis located?
- Amanda Ellis's practice location on file with NPPES is 1611 County Road B W Ste 214, Roseville, MN 55113-4053.
- What is Amanda Ellis's phone number?
- The practice phone number listed in the NPPES registry for Amanda Ellis is (651) 217-8600.
- Does Amanda Ellis accept Medicare?
- Amanda Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amanda Ellis's NPI active?
- Yes — Amanda Ellis's NPI (1245680925) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.