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

Angela Luana Ellis, LMSW

Individual provider Social Worker · NPI 1548976202

Angela Luana Ellis, LMSW is a Clinical Social Worker in Rexburg, Idaho. Qualified in 2013, 13 years ago. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
In the registry since
2023
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

450 E Main St
Rexburg, ID 83440-2048
Phone: (208) 359-7689
Fax: (208) 488-4265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LMSW-41785 (ID)

Record details

NPI number1548976202
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedJanuary 26, 2023
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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