Lisa Ellis, MA, LICSW, CCM
NPI 1891593133 · Clinical Social Worker · Minneapolis, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Ellis, MA, LICSW, CCM is a Clinical Social Worker provider in Minneapolis, MN (NPI 1891593133).
Provider details
- NPI number
- 1891593133
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MA, LICSW, CCM
- Sex
- Female
- Sole proprietor
- No
- License
- 3392 (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
1 yr 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
- 2025-03-04
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Frequently asked questions
- What is Lisa Ellis's NPI number?
- Lisa Ellis's National Provider Identifier (NPI) is 1891593133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Ellis's specialty?
- Lisa Ellis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Lisa Ellis located?
- Lisa Ellis's practice location on file with NPPES is 4027 County Road 25, Minneapolis, MN 55416-2629.
- What is Lisa Ellis's phone number?
- The practice phone number listed in the NPPES registry for Lisa Ellis is (612) 925-6033.
- Does Lisa Ellis accept Medicare?
- Lisa Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Ellis's NPI active?
- Yes — Lisa Ellis's NPI (1891593133) is active in the NPPES registry as of the last update on 2025-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.