Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alisha Ellis, CSW

Individual provider Clinical Social Worker · NPI 1962234823

Alisha Ellis, CSW is a Clinical Social Worker in Dallas, Georgia. Practices as a sole proprietor. Licensed in Georgia and New York.

Licensed in
GA, NY
In the registry since
2024
Specialties on file
3

Practice location Address checks out

416 Sweet Bay Ln
Dallas, GA 30132-5108
Phone: (917) 969-8578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW006601 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 079516 (NY)

Record details

NPI number1962234823
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW
Sole proprietorYes
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address416 Sweet Bay Ln, Dallas, GA 30132-5108

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