IndividualActive
Elizabeth Ellis, LICSW
NPI 1396772042 · Clinical Social Worker · Boston, MA
Elizabeth Ellis, LICSW is a Clinical Social Worker provider in Boston, MA (NPI 1396772042).
Provider details
- NPI number
- 1396772042
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
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
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
750 Washington St
Box 790
Boston, MA 02111-1526
Phone: (617) 636-9222
Street-level locationGet directions
Mailing address
30 Alaric St
West Roxbury, MA 02132-3904
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Elizabeth Ellis's NPI number?
- Elizabeth Ellis's National Provider Identifier (NPI) is 1396772042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elizabeth Ellis's specialty?
- Elizabeth Ellis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Elizabeth Ellis located?
- Elizabeth Ellis's practice location on file with NPPES is 750 Washington St, Boston, MA 02111-1526.
- What is Elizabeth Ellis's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Ellis is (617) 636-9222.
- Is Elizabeth Ellis's NPI active?
- Yes — Elizabeth Ellis's NPI (1396772042) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.