Tara Ellis, LCSW
NPI 1861719643 · Clinical Social Worker · Middletown, CT
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tara Ellis, LCSW is a Clinical Social Worker provider in Middletown, CT (NPI 1861719643).
Provider details
- NPI number
- 1861719643
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 007912 (CT)
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
16 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
- 2010-05-03
- Last updated
- 2015-03-16
Frequently asked questions
- What is Tara Ellis's NPI number?
- Tara Ellis's National Provider Identifier (NPI) is 1861719643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Ellis's specialty?
- Tara Ellis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tara Ellis located?
- Tara Ellis's practice location on file with NPPES is 675 Main St, Middletown, CT 06457-2718.
- What is Tara Ellis's phone number?
- The practice phone number listed in the NPPES registry for Tara Ellis is (890) 347-6971.
- Does Tara Ellis accept Medicare?
- Tara Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tara Ellis's NPI active?
- Yes — Tara Ellis's NPI (1861719643) is active in the NPPES registry as of the last update on 2015-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.