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

Antionette Ellis

Individual provider Clinical Social Worker · NPI 1215760301

Antionette Ellis is a Clinical Social Worker in Wilson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024

Practice location Address checks out

608 Nash St NE
Wilson, NC 27893-3045
Phone: (242) 291-2200
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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 P018391 (NC)

Record details

NPI number1215760301
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2024
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address3814 Chase Rd Nw Apt C, Wilson, NC 27896-8820

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