IndividualActive
Desti Ellis, LCSW, CAS
NPI 1336589290 · Clinical Social Worker · Modesto, CA
Desti Ellis, LCSW, CAS is a Clinical Social Worker provider in Modesto, CA (NPI 1336589290).
Provider details
- NPI number
- 1336589290
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, CAS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
500 N 9th St Ste C
Modesto, CA 95350-5814
Phone: (209) 558-4420
Street-level locationGet directions
Mailing address
800 Scenic Dr Bldg 4
Modesto, CA 95350-6131
Registry dates
- Enumerated
- 2013-06-25
- Last updated
- 2018-01-26
Frequently asked questions
- What is Desti Ellis's NPI number?
- Desti Ellis's National Provider Identifier (NPI) is 1336589290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Desti Ellis's specialty?
- Desti Ellis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Desti Ellis located?
- Desti Ellis's practice location on file with NPPES is 500 N 9th St Ste C, Modesto, CA 95350-5814.
- What is Desti Ellis's phone number?
- The practice phone number listed in the NPPES registry for Desti Ellis is (209) 558-4420.
- Is Desti Ellis's NPI active?
- Yes — Desti Ellis's NPI (1336589290) is active in the NPPES registry as of the last update on 2018-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.