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

Amanda Ellis, LICSW

Individual provider Clinical Social Worker · NPI 1245680925

Amanda Ellis, LICSW is a Clinical Social Worker in Edina, Minnesota. Qualified in 2002, 24 years ago. Practices with A Time for Healing LLC, a 3-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
24
Licensed in
MN
In the registry since
2016
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

7400 Metro Blvd Ste 335
Edina, MN 55439-2356
Phone: (651) 217-8600
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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 · Licence 25258 (MN)

Record details

NPI number1245680925
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 14, 2016
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026
Mailing address7400 Metro Blvd Ste 335, Edina, MN 55439-2356

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice A Time For Healing Llc — 3 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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