Jesse Ellis, LCSW
NPI 1487165932 · Clinical Social Worker · Provo, UT
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jesse Ellis, LCSW is a Clinical Social Worker provider in Provo, UT (NPI 1487165932).
Provider details
- NPI number
- 1487165932
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7748699-3501 (UT)
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
- 2017-10-23
- Last updated
- 2017-10-23
Frequently asked questions
- What is Jesse Ellis's NPI number?
- Jesse Ellis's National Provider Identifier (NPI) is 1487165932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Ellis's specialty?
- Jesse Ellis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jesse Ellis located?
- Jesse Ellis's practice location on file with NPPES is 1157 N 300 W, Provo, UT 84604-6124.
- What is Jesse Ellis's phone number?
- The practice phone number listed in the NPPES registry for Jesse Ellis is (801) 357-7525.
- Does Jesse Ellis accept Medicare?
- Jesse Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jesse Ellis's NPI active?
- Yes — Jesse Ellis's NPI (1487165932) is active in the NPPES registry as of the last update on 2017-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.